老年性高血压患者左心功能不全康复训练效果研究

Effect of rehabilitation training on left ventricular dysfunction in elderly patients with essential hypertension

目的:分析老年性高血压患者左心功能不全康复训练效果。方法:选取我院2015年03月至2016年09月,收治的高血压伴左心功能不全老年患者114例为研究对象,按随机数字表法分为观察组、对照组。对照组57例患者给予常规治疗,观察组57例患者在对照组的基础上给予康复训练。对比两组患者治疗后相关指标变化情况。结果:观察组的运动时间与对照组相比明显升高;观察组的血压、心率、左心室质量指数、脑钠肽以及自感劳累分级与对照组相比明显降低,差异有统计学意义(P<0.05)。结论:老年性高血压伴左心功能不全患者应用康复训练的效果显著,有效降低患者的左心室质量指数、脑钠肽等指标,提高其运动时间,改善其预后水平。

Objective： To analyze the rehabilitation effect of left ventricular dysfunction in elderly patients with senile hypertension. Methods： From March 2015 to September 2016, 114 elderly patients with hy- pertension and left ventricular dysfunction were involved in a single center retrospective analysis. They were di- vided into observation group and control group according to the method of random number table. 57 patients in the control group were given routine treatment, 57 patients in the observation group were given rehabilitation training additional. The changes of the related indexes after treatment were compared between the two groups. Results： The exercise time of the observation group was significantly higher compared to the control group. The blood pressure, heart rate, left ventricular mass index, brain natriuretic peptide and self-induced fatigue grade of the observation group were significantly lower, the difference was statistically significant （P 〈 0.05 ）. Con- clusion： The effect of rehabilitation training in senile hypertension patients with left ventricular dysfunction was significantly and effectively by reducing left ventricular mass index, brain natriuretic peptide and improving the exercise time and the prognosis.