老年慢性心力衰竭术后行运动康复对患者运动耐力的影响分析

Effect analysis of exercise rehabilitation on exercise tolerance in elderly patients with chronic heart failure after surgery

目的探究运动康复对老年慢性心力衰竭手术患者术后运动耐力的影响。方法86例老年慢性心力衰竭手术患者,按照术后康复方式不同划分为参照组和试验组,各43例。试验组术后采用运动康复,参照组术后采用常规康复。比较两组6 min步行距离、心功能指标[左室舒张末期内径(LVEDd)、心排出量(CO)、每搏输出量(SV)、心脏指数(CI)]、生活质量评分。结果治疗后,两组6 min步行距离均较治疗前增加,且试验组(422.07±24.82)m长于参照组的(388.15±28.28)m,差异有统计学意义(P<0.05)。试验组LVEDd短于参照组,CO、SV、CI高于参照组,差异有统计学意义(P<0.05)。试验组心理、健康、活动、自理评分均高于参照组,差异有统计学意义(P<0.05)。结论针对老年慢性心力衰竭手术患者采用运动康复进行干预,可有效提高患者的心脏功能,进一步增强身体的耐受能力,促进生活质量提升。

Objective To investigate the effect of exercise rehabilitation on exercise tolerance in elderly patients with chronic heart failure after surgery.Methods A total of 86 elderly patients with chronic heart failure after surgery were divided into reference group and experimental group according to different rehabilitation methods,with 43 cases in each group.The experimental group received exercise rehabilitation,and the reference group received conventional rehabilitation.The 6-min walking distance,cardiac function indicators[left ventricular end diastolic diameter(LVEDd),cardiac output(CO),stroke volume(SV),cardiac index(CI)]and quality of life score were compared between the two groups.Results After treatment,the 6-min walking distance of the two groups were increased than those before treatment,and the experimental group(422.07±24.82)m was longer than(388.15±28.28)m of the reference group.All the difference was statistically significant(P<0.05).The LVEDd of the experimental group was shorter than that of the reference group,and CO,SV and CI were higher than those of the reference group.All the difference was statistically significant(P<0.05).The psychological,health,activity and self-care score of the experimental group were higher than those of the reference group,and the difference was statistically significant(P<0.05).Conclusion For elderly patients with chronic heart failure surgery,exercise rehabilitation program can effectively improve the patient’s heart function,further enhance the tolerance of the body,and promote their quality of life.