康复运动疗法治疗慢性心力衰竭的疗效观察(1)
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[摘要] 目的 观察运动疗法对慢性心力衰竭患者的临床疗效。 方法 选择我院90例慢性心力衰竭患者，随机分为康复运动组和对照组，每组各45例。两组均行常规慢性心力衰竭治疗和护理，康复运动组增加自行设定的康复运动，观察两组治疗前后左室射血分数(LVEF)、6 min步行距离、生活质量和并发症发生率情况。 结果 两组患者入院时左室射血分数、6 min步行距离、生活质量比较无显著差异(P > 0.05)，治疗8周后与对照组比较，康复运动组左室射血分数升高，6 min步行距离显著增加，生活质量明显提高，并发症显著降低(P < 0.05)。 结论 慢性心力衰竭患者进行康复运动，能提高生活质量，减少并发症，且安全性高，值得临床推广。
[关键词] 慢性心力衰竭；运动疗法；生活质量
[中图分类号] R541 [文献标识码] A [文章编号] 1673-7210(2012)04(a)-0073-02
The clinical efficacy observation of rehabilitation exercise therapy in the treatment of chronic heart failure
YI Xiaolin
Department of Cardiology, the Second People's Hospital of Yueyang City, Hu'nan Province, Yueyang 414000, China
[Abstract] Objective To observe the clinical efficacy of rehabilitation exercise therapy in the treatment of chronic heart failure. Methods 90 cases of chronic heart failure patients were randomly divided into the rehabilitation exercise group and control group, with 45 cases in each group. Two groups were given a routine treatment and nursing of chronic heart failure, the rehabilitation exercise group was added the their own set ting rehabilitation exercises, the left ventricular ejection fraction (LVEF), 6 min walking distance, quality of life and complications rate situation of two groups were observed before and after treatment. Results All patients had no significant difference of left ventricular ejection fraction,6min walking distance, quality of life on admission (P > 0.05), compared with the control group after 8 weeks of treatment, left ventricular 6min walking distance, improved the quality of life in the rehabilitation exercise group were increased, and the complications were significantly lower (P < 0.05). Conclusion The rehabilitation exercise for patients with chronic heart failure can effectively improve quality of life, reduce complications, and it is safety and worthy of promotion.
[Key words] Chronic heart failure; Exercise therapy; Quality of life
慢性心力衰竭(CHF)是由于心脏结构或功能性疾病引起心肌病变和心室长期压力或容量负荷过重，导致心室充盈和射血功能障碍而引起的一种进行性加重的临床综合征[1]。随着社会老龄化，慢性心力衰竭的患病率逐年增加1.5%~2%，60岁以上的患病率更高，为6%~10%[2]。患者常感疲劳、呼吸困难，并可出现浮肿等症状，运动明显受限，生活质量低下。加强CHF的预防和康复治疗十分迫切和必要。传统治疗慢性心衰的方法主要是休息、限制活动 ......
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