运动康复治疗老年慢性心衰的临床疗效及对其生活质量的影响

Clinical effect of exercise rehabilitation in the treatment of chronic heart failure in the elderly and its effect on the quality of life of patients

目的 探讨运动康复治疗老年慢性心力衰竭(心衰)的临床效果及对患者生活质量的影响。方法 140例老年慢性心衰患者,随机分为对照组与观察组,每组70例。对照组患者应用常规治疗,观察组患者应用运动康复治疗。对比两组患者心功能指标[左室舒张末期容积(LVEDV)、左室收缩末期容积(LVESV)和左室射血分数(LVEF)],健康状况调查简表(SF-36)评分及6 min步行距离,N末端B型利钠肽原(NT-proBNP)水平。结果 观察组患者的LVEDV(95.79±3.14)ml、LVESV(47.31±3.02)ml均明显低于对照组的(114.73±3.87)、(54.02±4.01)ml,LVEF(41.01±3.79)%高于对照组的(34.93±3.05)%,差异具有统计学意义(P<0.05)。观察组患者SF-36评分(71.35±3.76)分高于对照组的(55.97±4.17)分,6 min步行距离(329.71±10.08)m明显长于对照组的(263.25±9.03)m,差异具有统计学意义(P<0.05)。观察组NT-proBNP水平为(389.13±11.32)pg/ml,明显低于对照组的(598.79±10.01)pg/ml,差异具有统计学意义(P<0.05)。结论 老年慢性心衰患者应用运动康复治疗,可改善患者心脏功能,提高生活质量,具有安全性及有效性,建议广泛应用。

Objective To discuss the clinical effect of exercise rehabilitation in the treatment of chronic heart failure in the elderly and its effect on the quality of life of patients.Methods A total of 140 elderly patients with chronic heart failure were randomly divided into control group and observation group,with 70 cases in each group.Patients in the control group received conventional treatment,and patients in the observation group received exercise rehabilitation therapy.Both groups were compared in terms of cardiac function indexes[left ventricular end diastolic volume(LVEDV),left ventricular end systolic volume(LVESV)and left ventricular ejection fraction(LVEF)],36-item short-form health survey(SF-36)score and 6-min walking distance,N-terminal pro-brain natriuretic peptide(NT-proBNP)level.Results LVEDV(95.79±3.14)ml and LVESV(47.31±3.02)ml of the observation group were significantly lower than(114.73±3.87)and(54.02±4.01)ml of the control group,and LVEF(41.01±3.79)%was higher than(34.93±3.05)%of the control group.All the differences were statistically significant(P<0.05).SF-36 score(71.35±3.76)points of the observation group was higher(55.97±4.17)points than of the control group,and the 6-min walking distance(329.71±10.08)m was significantly longer than(263.25±9.03)m of the control group.All the differences were statistically significant(P<0.05).NT-proBNP in the observation group was(389.13±11.32)pg/ml,which was significantly lower than(598.79±10.01)pg/ml of the control group,and the difference was statistically significant(P<0.05).Conclusion Exercise rehabilitation therapy in elderly patients with chronic heart failure can improve the cardiac function,improve the quality of life,with safety and effectiveness,and it is recommended to be widely used.