运动康复治疗对冠心病慢性心力衰竭患者心功能的影响研究

Effect of Exercise Rehabilitation on Cardiac Function in Patients with Coronary Heart Disease and Chronic Heart Failure

目的:观察运动康复治疗对冠心病慢性心力衰竭患者心功能的影响。方法:选取2019年8月-2020年8月本院收治的84例冠心病慢性心力衰竭患者,将其随机分为两组,每组42例。对照组常规药物治疗,研究组在对照组基础上联合运动康复治疗,比较两组治疗前后心功能、运动耐受量、再住院率和生活质量情况。结果:治疗前,两组心功能指标、运动耐受量、QOL评分比较,差异均无统计学意义(P>0.05)。治疗14 d后,对照组LVEF低于研究组,LVESD、LVEDD和BNP均高于研究组,差异均有统计学意义(P<0.05)。治疗14 d后,对照组的运动耐受量低于研究组,再住院率高于研究组,差异均有统计学意义(P<0.05)。治疗后,对照组QOL各维度评分均低于研究组,差异均有统计学意义(P<0.05)。结论:冠心病慢性心力衰竭患者实施运动康复治疗效果显著,能改善患者心功能、运动耐受量和生活质量,还能使临床再住院率降低,应推广应用。

Objective:To observe the effect of exercise rehabilitation on cardiac function in patients with coronary heart disease and chronic heart failure.Method:A total of 84 patients with CHD and chronic heart failure admitted to our hospital from August 2019 to August 2020 were selected and randomly divided into two groups,42 patients in each group.The control group received conventional drug treatment,and the study group received combined exercise rehabilitation treatment on the basis of the control group.The cardiac function,exercise tolerance,rehospitalization rate and quality of life of the two groups were compared before and after treatment.Result:Before treatment,there were no significant differences in cardiac function indexes,exercise tolerance and QOL score between two groups (P>0.05).After 14 d of treatment,LVEF in the control group was lower than that in the study group,while LVESD,LVEDD and BNP were higher than those in the study group,the differences were statistically significant (P<0.05).After 14 d of treatment,the exercise tolerance of the control group was lower than that of the study group,and the readmission rate was higher than that of the study group,the differences were statistically significant (P<0.05).After treatment,the QOL scores of the control group were lower than those of the study group,the differences were statistically significant (P<0.05).Conclusion:Exercise rehabilitation therapy for patients with coronary heart disease and chronic heart failure has a significant effect,which can improve patients’ cardiac function,exercise tolerance and quality of life,and reduce the clinical rehospitalization rate,it should be popularized.