老年慢性心力衰竭患者应用早期康复运动的临床疗效分析

CLINICAL EFFECT ANALYSIS OF EARLY REHABILITATION EXERCISE IN ELDERLY PATIENTS WITH CHRONIC HEART FAILURE

前瞻性研究郑州市第七人民医院2017年6月至2018年6月收治的、符合纳入标准的老年慢性心力衰竭患者100例。采用随机数字表法分为试验组(n=50)和对照组(n=50)。对照组予以常规治疗;试验组予以常规治疗+早期康复运动。收集并分析两组患者心功能、生活质量、6 min步行距离、死亡及再住院情况。探讨老年慢性心力衰竭患者应用早期康复运动的临床疗效。两组治疗后心胸比差异无统计学意义(P>0.05);随着时间的推移,两组左心射血分数逐渐升高,左室舒张末径及左房内径逐渐下降,差异具有统计学意义(P<0.05);试验组出院6个月后E/A高于对照组出院6个月后,差异具有统计学意义(P<0.05);试验组生活质量评分、出院6个月内再住院率低于对照组,差异具有统计学意义(P<0.05);试验组6 min步行距离高于对照组。差异具有统计学意义(P<0.01);两组出院后6个月内死亡率差异无统计学意义(P>0.05)。早期康复运动能改善老年慢性心力衰竭患者心功能,减少患者再住院次数,提高患者生活质量。

A prospective study was performed on 100 elderly patients who suffered from chronic heart failure and met the inclusion criteria admitted and treated in our hospital from June 2017 to June 2018.Random number table method was used to separate the experimental group(n=50)from the control group(n=50).The control group was given routine treatment.The experimental group was given routine treatment plus early rehabilitation exercise.Cardiac function,quality of life,6-minute walking distance,death and re-hospitalization in the two groups were collected and analyzed to investigate the clinical efficacy of early rehabilitation exercise in elderly patients with chronic heart failure.There was no significant difference between the two groups(P>0.05).With the passage of time,the left ventricular ejection fraction of the two groups gradually increased,and the left ventricular end-diastolic diameter and the left atrial inner diameter gradually decreased,showing that the difference was statistically significant(P<0.05).6 months after discharge,E/A in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).The quality of life score and the re-hospitalization rate within 6 months after discharge in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.05).The 6-minute walking distance of the experimental group was longer than that of the control group.The difference was statistically significant(P<0.01).There was no statistically significant difference in mortality between the two groups within 6 months after discharge(P>0.05).Early rehabilitation exercise can improve the cardiac function of elderly patients with chronic heart failure,reduce readmission and improve the quality of life of patients.