抗阻运动联合呼吸系统康复训练对老年慢性心衰患者心功能和生活质量的影响

Effects of resistance exercise combined with respiratory rehabilitation training on cardiac function and quality of life in elderly patients with chronic heart failure

中文关键词: 老年  慢性心力衰竭  抗阻运动  呼吸系统康复训练  心功能  生活质量

英文关键词: elderly  chronic heart failure  resistance exercise  respiratory rehabilitation training  cardiac function  qual-ity of life

中文摘要:

      目的 探讨抗阻运动联合呼吸系统康复训练对老年慢性心力衰竭(CHF)患者心功能及生活质量的影响.方法 回顾性选取2022年1月—2024年1月滨州医学院烟台附属医院心血管内科住院治疗的106例老年CHF患者的临床资料,根据治疗方法分为研究组(n=53,采用抗阻运动联合呼吸系统康复训练)和对照组(n=53,采用抗阻运动).收集2组患者一般临床资料;比较2组患者干预期间依从性,干预前、干预4周后左心室射血分数(LVEF),每搏输出量(SV),左室舒张末期内径(LVDD),6 min步行试验(6-MWT)距离,自觉疲劳量表(Borg)和明尼苏达心衰生活质量量表(MLHFQ)评分,出院1年内再入院率和死亡率.结果 干预期间,2组患者依从性差异无统计学意义(P＞0.05).干预后,2组患者LVEF、SV值均比同组干预前升高,且研究组LVEF、SV值高于对照组;LVDD值均比干预前降低,且研究组LVDD值低于对照组,差异均有统计学意义(P＜0.05).2组患者6-MWT距离均增加,且研究组6-MWT距离多于对照组;2组Borg、MLHFQ评分均降低,且研究组Borg、MLHFQ评分低于对照组,差异均有统计学意义(P＜0.05).出院1年内,研究组再入院率低于对照组(13.21％vs 30.19％,P＜0.05),2组患者死亡率差异无统计学意义(P＞0.05).结论 抗阻运动及呼吸系统康复训练有助于改善老年CHF患者的心功能,提升运动耐力和生活质量,减少再入院率,具有一定的临床应用价值.

英文摘要:

      Objective To investigate the effects of resistance exercise combined with respiratory rehabilitation training on cardiac function and quality of life in elderly patients with chronic heart failure(CHF).Methods A retrospective analysis was conducted on the clinical data of 106 elderly CHF patients hospitalized in Department of Cardiovascular Medicine,Yantai Hospital Affiliated to Binzhou Medical College from January 2022 to January 2024.According to the treatment method,they were divided into study group(n=53,receiving resistance exercise combined with respiratory rehabilitation training)and con-trol group(n=53,receiving resistance exercise alone).The general clinical data of both groups were collected.The compli-ance during the intervention,left ventricular ejection fraction(LVEF),stroke volume(SV),left ventricular end-diastolic di-ameter(LVDD),6-minute walk test(6-MWT)distance,Borg Rating of Perceived Exertion scale(Borg)scores,Minnesota Living with Heart Failure Questionnaire(MLHFQ)scores before and after 4 weeks of intervention,as well as readmission and mortality within one year after discharge were compared between the two groups.Results During the intervention,there was no significant difference in the compliance between the two groups(P＞0.05).After intervention,LVEF and SV in both groups increased compared with those of the same group before intervention,and the study group was higher than the control group(P＜0.05);LVDD in both groups decreased compared with those of the same group before intervention,and the study group was lower than the control group(P＜0.05);the 6-MWT distance in both groups increased,and the study group was longer than the control group(P＜0.05);the scores of Borg and MLHFQ in both groups decreased compared with those of the same group before intervention,and the study group was lower than the control group(P＜0.05).Within 1 year after dis-charge,the readmission rate in the study group was lower than that in the control group(13.21％vs 30.19％,P＜0.05),but there was no statistically significant difference in the mortality between the two groups(P＞0.05).Conclusion Resistance exercise combined with respiratory rehabilitation training can help improve cardiac function,exercise endurance and quality of life,and reduce the readmission rate in elderly CHF patients.It has certain clinical application value.