中医适宜技术联合运动康复训练在慢性心力衰竭患者中的应用

Application of TCM appropriate techniques combined with exercise rehabilitation training in patients with chronic heart failure

目的探讨中医适宜技术联合运动康复训练对慢性心力衰竭(chronic heart failure,CHF)患者心功能与运动耐量的影响。方法选取2021年2月至2024年3月平顶山市中医医院收治的122例CHF患者,随机数字表分为联合组62例和对照组60例。对照组给予常规运动康复训练,联合组给予中医适宜技术联合运动康复训练。比较两组疗效、心功能。结果联合组总有效率93.55%,对照组总有效率73.33%,组间比较,差异有统计学意义(P<0.05)。与对照组相比,联合组干预后左室射血分数(LVEF)较高,N末端B型利钠肽(NT-proBNP)、左室收缩末期内径(LVESD)、左室舒张末期内径(LVEDD)较低,6 min步行距离较长(P<0.05)。结论中医适宜技术联合运动康复训练模式可改善CHF患者的心功能,提高运动耐量。

Objective To explore the effects of traditional Chinese medicine(TCM)appropriate techniques combined with exercise rehabilitation training on cardiac function and exercise tolerance in patients with chronic heart failure(CHF).Methods A total of 122 CHF patients admitted to Pingdingshan Hospital of Traditional Chinese Medicine from February 2021 to March 2024 were selected and randomly divided into a combined group(62 cases)and a control group(60 cases).The control group was given routine exercise rehabilitation training,and the combined group was given traditional Chinese medicine appropriate techniques combined with exercise rehabilitation training.The curative effect and cardiac function of the two groups were compared.Results The total effective rate of the combined group was 93.55%,and the total effective rate of the control group was 73.33%,and the difference between groups was statistically significant(P<0.05).Compared with the control group,the combined group had higher LVEF,lower NT-proBNP,LVESD and LVEDD,and longer 6-min walking distance after intervention(P<0.05).Conclusion Traditional Chinese medicine appropriate techniques combined with exercise rehabilitation training mode can improve the cardiac function and exercise tolerance of patients with CHF.