以虚拟现实技术为基础的分级运动康复结合认知功能训练对慢性心力衰竭患者的影响

Effect of graded exercise rehabilitation based on virtual reality technology combined with cognitive function training on chronic heart failure patients

目的探讨以虚拟现实技术为基础的分级运动康复结合认知功能训练对慢性心力衰竭患者的临床效果。方法选取2017年10月至2019年9月收治的97例慢性心力衰竭患者为研究对象,根据患者意愿将其分为研究组48例和对照组49例,对照组实施常规认知功能训练,研究组在对照组基础上实施以虚拟现实技术为基础的分级运动康复训练,比较两组患者康复训练后慢性心力衰竭患者心功能、认知功能、6 min步行距离、改良Barthel指数评分。结果研究组患者心功能(LVEF,LVESD,LVEDD)明显优于对照组,差异有统计学意义(P<0.05);研究组患者MoCA评分、MBI评分及6WMT距离优于对照组,差异有统计学意义(P<0.05)。结论慢性心力衰竭患者在认知功能训练基础上联合应用以虚拟现实技术为基础的分级运动康复训练,可有效增强患者心功能和认知功能,提高其日常生活功能和体力耐受量,具有临床应用价值。

Objective To explore the clinical effect of graded exercise rehabilitation based on virtual reality technology combined with cognitive function training on chronic heart failure(CHF)patients.Methods To select 97 cases of CHF patients admitted from October 2017 to September 2019 was set as the study objects,and they were divided into a study group of 48 cases and a control group of 49 cases according to the wishes of the patients.The control group performed routine cognitive function training,and the study group was given graded exercise rehabilitation based on virtual reality technology combined with cognitive function training on the basis of the control group to compare the heart function,cognitive function,6-min walking distance,and modified Barthel index score of CHF patients between the two groups after rehabilitation training.Results The heart function(LVEF,LVESD and LVEDD)in the study group was significantly better than that in the control group,and the difference was statistically significant(P<0.05).The MoCA score,MBI score and 6 min walking distance in the study group were better than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The combined application of graded exercise rehabilitation based on virtual reality technology and cognitive function training in CHF patients can effectively enhance the patients'cardiac and cognitive functions,and improve their daily life functions and physical tolerance.Therefore,it has clinical application value.