呼吸训练联合阶段性康复训练对心脏瓣膜置换术患者运动耐力及心功能的影响

Effects of respiratory training combined with staged rehabilitation training on exercise tolerance and cardiac function in patients with heart valve replacement

目的 :探讨呼吸训练联合阶段性康复训练在心脏瓣膜置换术患者中的运用效果。方法 :将92例心脏瓣膜置换术患者随机分为观察组(n=46)和对照组(n=46)。对照组给予常规护理,观察组加用呼吸训练联合阶段性康复训练,持续3个月。对比两组运动耐力、心功能水平、并发症发生率及生存质量。结果 :护理后,观察组6 min步行距离、左心室射血分数(LVEF)水平、左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)、并发症发生率等指标,以及中国心血管患者生活质量评定问卷(CQQC)中体力、病情、医疗状况、一般生活、社会心理状况等6项评分均优于对照组(均P <0.05)。结论 :呼吸训练联合阶段性康复训练用于心脏瓣膜置换术患者中,能改善心功能与运动耐力,降低并发症发生率,提高生存质量。

Objective:To explore the effect of respiratory training combined with staged rehabilitation training in patients with heart valve replacement.Methods:Ninety-two heart valve replacement patients were randomly divided into an observation group(n=46)and a control group(n=46).The control group was given routine care,and the observation group added respiratory training combined with staged rehabilitation training for 3 months.Exercise endurance,cardiac function level,incidence of complication and survival quality were compared between the two groups.Results:After the nursing care,6-min walking distance,left ventricular ejection fraction(LVEF)level,left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),and incidence of complication,as well as the six scores of Chinese questionnaire of quality of life in patients with cardiovascular diseases(CQQC),such as physical strength,medical condition,medical condition,general life,and psychosocial condition,were better in the observation group than the control group(all P<0.05).Conclusion:Respiratory training combined with staged rehabilitation training can improve cardiac function and exercise tolerance,reduce the incidence of complications,and improve the quality of life in patients with heart valve replacement.