运动训练治疗慢性心力衰竭合并肌少症老年患者的疗效观察

Observation on the effect of exercise training in the treatment of elderly patients with chronic heart failure and sarcopenia

目的探讨慢性心力衰竭合并肌少症老年患者接受运动训练治疗的效果。方法选取2019年1月~2020年12月内蒙古自治区人民医院收治的80例慢性心力衰竭合并肌少症的老年患者作为研究样本,采用随机数表法分组,其中40例为对照组,予以药物治疗;另40例为观察组,药物治疗基础上加以运动训练指导。比较两组左心室射血分数(LVEF)、明尼苏达州心力衰竭生活质量量表(MLHFQ)评分、骨骼肌质量指数(SMI)、步速(GS)、握力(HS)、5次起坐试验时间(5STS)及疗效差异。结果干预前,两组LVEF、SMI、GS、HS、5STS水平和MLHFQ评分比较,差异无统计学意义(P>0.05);干预后,观察组LVEF、SMI、GS、HS水平高于对照组,5STS水平和MLHFQ评分低于对照组,且两组各自组内干预后的LVEF、SMI、GS、HS水平高于干预前,5STS水平和MLHFQ评分低于干预前,差异有统计学意义(P<0.05)。观察组治疗有效率高于对照组,差异有统计学意义(P<0.05)。结论慢性心力衰竭合并肌少症老年患者接受运动训练疗法,可有效改善机体心功能与骨骼肌功能,治疗效果理想。

Objective To analyze the eff ect of exercise training in elderly patients with chronic heart failure(CHF)complicated with sarcopenia.Methods A total of 80 elderly patients with CHF complicated with sarcopenia from January 2019 to December 2020 in the Department of General Medicine,People’s Hospital of Inner Mongolia Autonomous Region were included as research samples and grouped by random number table method,of which 40 patients were the control group and received drug treatment.The other 40 cases were in the observation group,on the basis of drug treatment,exercise training guidance was added.The left ventricular ejection fraction(LVEF),Minnesota Heart Failure Quality of Life Scale(MLHFQ)score,skeletal muscle mass index(SMI),gait speed(GS),grip strength(HS),5 sit-ups test time(5STS)and differences in effi cacy.Results Before the intervention,there was no signifi cant diff erence in the levels of LVEF,SMI,GS,HS,5STS and MLHFQ scores between the two groups(P>0.05).After the intervention,the levels of LVEF,SMI,GS,and HS in the observation group were higher than those in the control group.The 5STS and MLHFQ scores in the two groups were lower than those in the control group,and the LVEF,SMI,GS,and HS levels in the two groups after the intervention were higher than those before the intervention,and the 5STS and MLHFQ scores were lower than those before the intervention,and the diff erences were as follows:Statistical signifi cance(P<0.05).The treatment eff ective rate of the observation group was higher than that of the control group,and the diff erence was statistically signifi cant(P<0.05).Conclusion Exercise training therapy for elderly patients with CHF and sarcopenia can eff ectively improve the body's cardiac function and skeletal muscle function,and the therapeutic eff ect is ideal.