心脏康复治疗对心力衰竭患者临床效果及运动心肺功能的影响探讨

Discussion of the clinical effect of cardiac rehabilitation on heart failure patients and its influence on cardiopulmonary function during exercise

目的探讨心脏康复治疗对心力衰竭患者临床效果及运动心肺功能的影响。方法90例心力衰竭患者,随机分为对照组和实验组,每组45例。对照组采用常规治疗,实验组在常规治疗基础上采用心脏康复治疗。对比两组患者治疗效果、运动心肺功能指标[最大代谢当量(MET_(max))、最大公斤摄氧量(VO_(2max)/kg)、最大氧脉搏(VO_(2max)/HR)]、生存质量、再住院情况。结果实验组MET_(max)(9.82±1.98)、VO_(2max)/kg(16.89±3.63)ml/(min·kg)、VO_(2max)/HR(10.31±2.17)ml/beat均高于对照组的(7.73±1.62)、(13.26±4.05)ml/(min·kg)、(8.49±1.68)ml/beat,差异有统计学意义(P<0.05)。实验组生存质量评分为(89.03±1.46)分,高于对照组的(76.28±1.85)分,差异有统计学意义(P<0.05)。实验组治疗总有效率95.56%高于对照组的73.33%,差异有统计学意义(P<0.05)。实验组再住院率2.22%明显低于对照组的20.00%,差异有统计学意义(P<0.05)。结论心脏康复治疗能够使心力衰竭患者在运动心肺功能方面获得较大改善,保证患者生存质量,提升治疗效果,降低患者再次入院几率,具有广泛应用价值。

Objective To discuss the clinical effect of cardiac rehabilitation on heart failure patients and its influence on cardiopulmonary function during exercise.Methods A total of 90 patients with heart failure were randomly divided into control group and experimental group,with 45 cases in each group.The control group received conventional treatment,and the experimental group received cardiac rehabilitation on the basis of conventional treatment.Both groups were compared in terms of therapeutic effect,indexes of cardiopulmonary exercise function[maximal metabolic equivalent(MET_(max)),maximal oxygen uptake(VO_(2max)/kg),maximal oxygen pulse(VO_(2max)/HR)],quality of life,and re-hospitalization.Results The experimental group had MET_(max) of(9.82±1.98),VO_(2max)/kg of(16.89±3.63)ml/(min·kg),VO_(2max) HR of(10.31±2.17)ml/beat,which were higher than those of(7.73±1.62),(13.26±4.05)ml/(min·kg)and(8.49±1.68)ml/beat in the control group,and the differences were statistically significant(P<0.05).The quality of life score of the experimental group was(89.03±1.46)points,which was higher than that of(76.28±1.85)points of the control group,and the difference was statistically significant(P<0.05).The total effective rate of the experimental group was 95.56%,which was higher than that of 73.33%of the control group,and the difference was statistically significant(P<0.05).The re-hospitalization rate of 2.22%in the experimental group was significantly lower than that of 20.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Cardiac rehabilitation can greatly improve the cardiopulmonary function during exercise of patients with heart failure,ensure the quality of life of patients,improve the therapeutic effect,and reduce the probability of readmission of patients,which has a wide range of application value.