主动呼吸康复训练对改善老年心力衰竭病人运动耐力的效果分析

Effect of active respiratory rehabilitation training on improving exercise tolerance in elderly patients with heart failure

目的探讨呼吸康复训练对改善老年心力衰竭病人运动耐力的效果。方法选取2014年8月至2016年8月医院收治的89例老年心力衰竭病人为研究对象,随机分为对照组(常规护理,44例)与观察组(常规护理+呼吸康复训练,45例),疗程为2个月,并随访12个月,治疗前后采用超声心动图测定心功能指标,测定生活质量评分(MLHF)和6 min步行距离(6MWD)并进行对比分析。结果观察组病人训练后左心室射血分数(LVEF)、左室舒张末期内径(LVEDd)、心功能分级(NYHA)明显优于训练前,且与对照组相比有显著改善(P<0.05);观察组训练后6MWD明显优于训练前,且明显优于对照组(P<0.05);随访12个月后观察组MLHF评分高于对照组,因心衰再入院率低于对照组(P<0.05)。结论老年心力衰竭病人行主动呼吸康复训练可显著改善心功能及运动能力,提高病人生活质量,有利于疾病康复。

Objective To explore the effect of active respiratory rehabilitation training on improving exercise tolerance in elderly patients with heart failure.Methods A total of 89 elderly patients with heart failure from August 2014 to August 2016 in our hospital were selected.They were randomly divided into control group（ routine nursing with 44 cases） and observation group（ routine nursing combined with respiratory rehabilitation training with 45 cases）.The patients were followed up for12 months.The cardiac function was measured by echocardiography.The quality of life score（ MLHF）and 6 min walking distance（ 6 MWD） were measured before and after training.Results The left ventricular ejection fraction（ LVEF）,left ventricular end diastolic diameter（ LVEDd）,cardiac function classification（ NYHA） in observation group were better than those before training,and were significantly better than those in control group（ P〈 0.05）.6 MWD in observation group was significantly better than that before training,and significantly better than that of the control group（ P〈0.05）.After 12 months,the MLHF score in the observation group was higher than that in the control group,the hospitalization rate in the observation group was lower than that in the control group（ P〈0.05）.Conclusions The active respiratory rehabilitation training can significantly improve heart function and exercise capacity in elderly patients with heart failure,and improve the quality of life,which is conducive to disease rehabilitation.