运动康复对慢性心力衰竭预后的影响

The Effect of Exercise Rehabilitation on the Prognosis of Chronic Heart Failure

目的对慢性心力衰竭患者实施运动康复,评价预后影响。方法选择我院于2017 年3 月—2018 年1 月就诊的92 例男性慢性心力衰竭患者,依据遵循随机数字表法分为运动康复组(n =46),常规治疗组(n =46),比较两组左室射血分数(LVEF)、左室舒张末期内径(LVDD)、6 min 步行距离(6MWT)、血浆脑钠肽(BNP)、最大公斤摄氧量(VO2/kg max)等心功能指标的变化及心衰复发加重再入院、心肌梗死、猝死等不良事件的发生率。结果与常规治疗组比较,运动康复组患者的各项心功能相关指标在数值上均体现更优,且不良事件发生率显著降低,最终结果均以P < 0.05 体现。结论对慢性心力衰竭患者实施运动康复,对于改善其心脏功能更为有利,且可显著降低不良事件发生率,预后效果显著。

Objective To evaluate the effect of exercise rehabilitation on the prognosis of patients with chronic heart failure. Methods our hospital from March 2017 to January 2018 to choose 92 cases of patients with chronic heart failure, grouped according to the following random number table method, treatment of 46 cases of control group routine treatment, sport group of 46 cases of joint movement rehabilitation, to compare two groups of related parameters of cardiac function of left ventricular ejection fraction (LVEF), left ventricular end diastolic diameter (LVDD), walk test of 6 minutes (6MWT), brain natriuretic peptide( BNP), oxygen uptake of kilogram, and adverse events of readmission, myocardial infarction and sudden death. Results compared with the results of various indicators in the control group, the indicators related to cardiac function in the exercise group were better in numerical value, and the incidence of adverse events was significantly lower. The final results were all P < 0.05. Conclusion exercise rehabilitation for patients with chronic heart failure is more beneficial to improve their heart function, and can significantly reduce the incidence of adverse events, prognosis effect is significant.