特异性呼吸功能训练用于重度心力衰竭患者的临床观察

Clinical Observation of Specific Respiratory Function Training in Patients with Severe Heart Failure

目的:探讨特异性呼吸功能训练在重度心力衰竭患者中的应用效果。方法:选取2020年7月-2022年1月江西省大余县人民医院收治的92例重度心力衰竭患者作为研究对象,采用随机数字表法将患者分为对照组和试验组,各46例。对照组采取常规药物治疗,试验组在对照组基础上采取特异性呼吸训练治疗,两组均持续治疗1个月。比较两组临床疗效、呼吸功能、心功能、日常生活能力及生活质量。结果:试验组治疗总有效率为95.65%,高于对照组的82.61%,差异有统计学意义(P<0.05)。治疗后,试验组B型脑钠肽、改良版英国医学研究委员会呼吸困难量表评分均较对照组低,左心室射血分数、改良Barthel指数评分、生活质量综合定问卷评分均较对照组高,差异均有统计学意义(P<0.05)。结论:特异性呼吸功能训练在重度心力衰竭患者中应用效果确切,可有效改善患者临床症状,促进其呼吸功能和心功能改善,有效提升患者日常生活能力,改善其生活质量。

Objective:To investigate the effect of specific respiratory function training in patients with severe heart failure.Methods:A total of 92 patients with severe heart failure admitted to Dayu County People's Hospital from July 2020 to January 2022 were selected as the research objects,and were divided into a control group and an observation group by random number table method,with 46 cases in each group.The control group received conventional drug treatment,and the observation group received specific respiratory training treatment on the basis of the control group.Both groups received continuous treatment for 1 month.The clinical efficacy,respiratory function,heart function,daily living ability and quality of life of the two groups were compared.Results:The total effective rate of the observation group was 95.65%,which was higher than 82.61%of the control group,the difference was statistically significant(P<0.05).After treatment,the scores of B-type brain natriuretic peptide and modified version of the Medical Research Council dyspnea scale Scale were lower than those of the control group,and the scores of left ventricular ejection fraction,modified Barthel Index and Generic Quality of Life Inventory-74 were higher than those in the observation group than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The application of specific respiratory function training in patients with severe heart failure is effective,which can effectively improve the clinical symptoms of patients,promote the improvement of respiratory function and heart function,effectively enhance the daily life ability of patients,and improve their quality of life.