呼吸功能训练对重度心力衰竭患者康复的影响(1)
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【摘要】 目的： 探讨呼吸功能训练对重症心力衰竭患者的治疗干预效果， 为重症心力衰竭患者康复运动方式提供参考。 方法：选取住院重度心力衰竭患者共120例。随机将患者分为呼吸功能训练组、对照组。所有心衰患者都给予常规药物治疗。观察两组患者实验前后临床数据。进行统计学处理结果： 与对照组相比，重症心力衰竭患者心功能指标没有明显提高、但实验组的临床症状有所改善，生活质量提高。结论：虽然心功能指标上从统计学上没有统计学差异，但呼吸肌训练可重度心力衰竭改善患者临床症状及生活质量。
【关键词】 重度心力衰竭，呼吸功能训练
Effect 0f respiratory function training on the recovery 0f severe heart failure
ZENG Zhen* YANG Bo* HE Jing
*Department of Cardiology,Renmin Hospital,Wuhan University,Wuhan 430060, China
Department of Neurology,Tongren Hospital,Wuhan University, Wuhan 430060, China
【Abstract】 ObjectiveTo investigate the intervention effect 0f 4 week respiratory function training in patients with severe heart failure.and provide evidences for effective interventionof rehabilitationfor patients with severe heart failure. Methods120 inpatients were randomly divided into two groups，Training Group andControl Group. The patients in two group were given routine medicine. But The patients in Training Group were trainedinpatients by pursed lip abdominal respiratory exercises，andrespiratory gymnastics training.A serial of contents which related with severe heart failure were observed and the clinical data of the patients were evaluated The inpatients＇clinical data were inquired. Statistical analysis were performed using t-test and ANOVA. Results Compared with control group，the level ofBNP andLVEFscoresdidn’t improved in rehabilitation exercise group.All indexes of Symptoms and life quality were improved to a certain extent in the training group.Conclusionsrespiratory function training plan is effective Although cardiac function of the training group patients did not enforce significantly，the plan could improve the clinical syndromes，enhance the life quality of the patients.
【Key words】 severe heart failure，respiratory function training
【中图分类号】 R541【文献标识码】 B【文章编号】 1007-8231(2011) 07-0361-03
心力衰竭是一种常见的进行性加重的临床综合症，是各种心脏疾患发展的终末阶段之一。中国调查显示：中国成年人心衰的患病率为0.9%[1]。大量的心力衰竭患者，特别是重度心力衰竭患者，长期卧床、反复发作呼吸困难、生活能力和质量下降[2]，给病人身心带来了极大的痛苦、给家庭及社会造成负担。但目前临床康复训练中很少涉及重度心衰患者。本研究通过采取呼吸功能训练协同药物治疗重度心衰患者的方法，探讨重度心衰患者早期可行的有效的康复训练模式。
1临床资料 ......
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