增强型体外反搏联合分级运动康复训练在老年慢性心力衰竭患者中的应用效果

Application effect of enhanced external counterpulsation combined with graded exercise rehabilitation training in elderly patients with chronic heart failure

目的探究增强型体外反搏联合分级运动康复训练在老年慢性心力衰竭(心衰)患者中的应用效果。方法选取2021年1月至2022年9月于遂宁市中心医院康复中心诊治的老年慢性心衰患者96例作为研究对象,根据治疗方法不同分为实验组(增强型体外反搏联合分级运动康复训练)和对照组(分级运动康复训练),每组各48例。所有患者均完成6周治疗,检测两组患者治疗后心功能相关指标、生活质量相关指标的变化。结果治疗6周后,实验组和对照组左心室射血分数(LVEF)、心脏每搏量较治疗前均明显提高,左心室舒张末径(LVEDD)、左心室收缩末径(LVESD)较治疗前均明显降低,且实验组各指标变化程度均高于对照组(P<0.05)。治疗6周后,两组N末端脑钠肽前体(NT-proBNP)均明显降低,实验组NT-proBNP的降低程度高于对照组(P<0.05)。治疗6周后,两组6 min步行距离较治疗前均明显升高,明尼苏达心衰生活质量量表(MLHFQ)评分均明显降低,且实验组各指标的变化程度均高于对照组(P<0.05)。治疗6周后,实验组患者心功能分级明显优于对照组(P<0.05)。结论增强型体外反搏联合分级运动康复训练可显著改善老年慢性心衰患者的心功能,提高其生活质量及运动耐力。

Objective To the application effect of enhanced external counterpulsation combined with graded exercise rehabilitation training in elderly patients with chronic heart failure.Methods A total of 96 elderly patients with chronic heart failure diagnosed and treated in the rehabilitation Center,Suining Central Hospital,from January 2021 to January 2022 were selected as research objects and divided into experimental group(enhanced external counterpulsation combined graded exercise rehabilitation training,48 cases)and control group(graded exercise rehabilitation training,48 cases)according to different treatment methods.All patients completed treatment for a total of 6 weeks.Changes in cardiac function-related indexes and life quality scores were detected in each group.Results After six weeks of treatment,the left ventricular ejection fraction(LVEF)and cardiac stroke volume in the experimental group and the control group were significantly increased,while the left ventricular final diastolic diameter(LVEDD)and left ventricular final systolic diameter(LVESD)were significantly decreased.The change degree of each index in the experimental group was higher than in the control group(P<0.05).After six weeks of treatment,N terminal B type natriuretic peptide precursor(NT-proBNP)was significantly reduced in both the experimental group and the control group,and the reduction degree of NT-proBNP in the experimental group was higher than in the control group(P<0.05).After six weeks of treatment,the 6-minute walking distance between the experimental and control groups was significantly higher than before treatment.The Minnesota Heart Failure Quality of Life Scale(MLHFQ)score was significantly lower.The change degree of each index in the experimental group was higher than in the control group(P<0.05).After six weeks of treatment,the heart function grading of the experimental group patients was significantly better than that of the control group(P<0.05).Conclusion Enhanced external counterpulsation combined with graded exercise rehabilitation training can significantly improve the cardiac function and quality of life of elderly patients with chronic heart failure and exercise endurance.