冠心病慢性心力衰竭患者应用运动康复干预对心功能的影响

Impact of chronic congestive heart failure patients applied sports rehabilitation intervention on cardiac function

目的分析冠心病慢性心力衰竭患者应用运动康复干预对心功能的临床影响。方法资料随机选取2011年11月—2013年11月该院诊治的240例冠心病慢性心力衰竭患者,按照随机双盲法分为两组,对照组120例患者予以常规药物治疗,研究组120例患者在对照组治疗基础上予以运动康复干预,分析两组患者心功能相关性指标、生活质量及运动耐量情况。结果研究组患者干预后心功能相关性指标SV(59.24±3.63)m L、CO(5.24±1.24)L/min、CI(3.99±0.42)min/m2、LVEF(54.29±6.24)%均明显优于对照组;社会限制(3.78±1.14)分、体力限制(10.01±3.43)分、症状改善(7.14±1.74)分及情绪控制(7.85±2.17)分情况均明显低于对照组,6 min步行距离(376.07±51.22)m比对照组(252.55±55.14)m远,比较差异均具有统计学意义(P<0.05)。结论冠心病慢性心力衰竭患者应用运动康复干预对心功能有积极影响,有效改善患者生活质量及运动耐量。

Objective To The clinical impact of coronary heart disease and chronic heart failure patients applied sports rehabilitation intervention on cardiac function. Methods Data randomly selected 240 cases of coronary heart disease in patients with chronic heart failure in November 2011 November 2013 hospital for treatment, according to randomized double-blind divided into two groups, a control group of 120 patients treated with routine medication, the study group of 120 patients shall exercise rehabilitation intervention in the control group, based on the analysis of the two groups were related indicators of cardiac function, quality of life and exercise tolerance situation. Results SV related indicators of cardiac function in patients after intervention study group（59.24±3.63） m L,CO（5.24±1.24）L/min, CI（3.99±0.42） min/m^2, LVEF（54.29±6.24）% were significantly better than the control group; social constraints（3.78 ±1.14） points, physical limitations（10.01 ±3.43） points, symptom improvement（7.14 ±1.74） points and emotional control（7.85±2.17） were significantly lower than the control sub-group situation, 6min walking distance（376.07 ±51.22） m m farther than the control group（252.55±55.14）, the difference was statistically significant（P〈0.05）. Conclusion Patients with chronic congestive heart failure applications sports rehabilitation intervention has a positive effect on heart function, improve quality of life and exercise tolerance in patients.