心脏康复治疗在慢性心力衰竭患者中的应用效果

Application effect of cardiac rehabilitation in patients with chronic heart failure

目的针对慢性心力衰竭患者,分析心脏康复治疗的具体措施和效果。方法选取2021年11月至2023年6月武威市凉州医院收治的80例慢性心力衰竭患者作为研究对象,按照随机数字表法分为参照组(n=40)和研究组(n=40)。参照组采用常规治疗,研究组在参照组的基础上加用心脏康复治疗。比较两组患者的心肺功能变化以及治疗满意度。结果两组患者治疗后的左心室射血分数(LVEF)水平高于本组治疗前,6 min步行距离(6MWT)长于本组治疗前,左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)水平低于本组治疗前,差异有统计学意义(P<0.05)。治疗后,研究组LVEF水平高于参照组,6MWT长于参照组,LVEDD、LVESD水平低于参照组,差异有统计学意义(P<0.05)。两组患者治疗后的第1秒用力呼吸容积(FEV_(1))、深吸气量(IC)、用力肺活量(FVC)、FEV_(1)/FVC等各项肺功能指标水平高于本组治疗前,研究组FEV_(1)、IC、FVC、FEV_(1)/FVC等各项肺功能指标水平高于参照组,差异有统计学意义(P<0.05)。研究组治疗总满意率高于参照组,差异有统计学意义(P<0.05)。结论心脏康复治疗用于慢性心力衰竭患者,可改善其心肺功能,提升治疗满意度,有积极的临床价值。

Objective To analyze the specific measures and effects of cardiac rehabilitation for patients with chronic heart failure.Methods A total of 80 patients with chronic heart failure admitted to Liangzhou Hospital in Wuwei City,Gansu Province from November 2021 to June 2023 were selected as the study objects,and were divided into the reference group(n=40)and the study group(n=40)according to random number table method.The reference group received conventional treatment,and the study group was supplemented with cardiac rehabilitation therapy.The changes of cardiopulmonary function and treatment satisfaction were compared between the two groups.Results The level of left ventricular ejection fraction(LVEF)after treatment was higher than that before treatment,the 6-min walking distance(6MWT)was longer than that before treatment,and the levels of left ventricular end-diastolic diameter(LVEDD)and left ventricular end-systolic diameter(LVESD)were lower than before treatment,with statistical significance(P<0.05).After treatment,the LVEF level of the study group was higher than that of the reference group,the 6MWT was longer than that of the reference group,and the LVEDD and LVESD levels were lower than those of the reference group,with statistical significance(P<0.05).The levels of pulmonary function indexes such as forced respiratory volume(FEV_(1)),deep inspiratory volume(IC),forced vital capacity(FVC)and FEV_(1)/FVC in the first second after treatment were higher in the two groups than before treatment,and the levels of pulmonary function indexes such as FEV_(1),IC,FVC and FEV_(1)/FVC in the study group were higher than those in the reference group.The differences were statistically significant(P<0.05).The total satisfaction rate of the study group was higher than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion Cardiac rehabilitation therapy for chronic heart failure patients can improve their cardiopulmonary function,improve treatment satisfaction,and have positive clinical value.