运动康复治疗对合并肾功能不全的慢性心力衰竭患者心功能及生活质量的影响

发布时间：2018-06-06 16:41

本文选题：运动康复训练 + 心力衰竭　；参考：《临床心血管病杂志》2017年01期

【摘要】：目的:研究运动康复治疗对合并肾功能不全的慢性心力衰竭患者心功能及生活质量的影响。方法:选择2013-06-2015-06在我院心内科接受治疗的慢性心力衰竭患者为研究对象。分为肾功能正常组(A组)和肾功能不全组(B组),两组各分为常规治疗组(A1组和B1组)和常规药物治疗+运动康复治疗组(A2组和B2组)。对比各组患者心功能及生活质量的改善情况。结果:4组患者入院时生活质量及心功能无统计学差异(P0.05),8周后A2组患者比A1组、B2组比B1组患者心功能明显改善,生活质量明显提高(P0.05);且A2与B2组相比,心功能及生活质量改善更明显,具有统计学差异(P0.05)。结论:无论患者是否合并肾功能不全,心脏康复锻炼均可以改善心力衰竭患者生活质量及心功能。相比合并肾功能不全的心力衰竭患者,心脏康复治疗改善无肾功能不全的慢性心力衰竭患者的生活质量及心功能的作用更佳。
[Abstract]:Objective: to study the effects of exercise rehabilitation on cardiac function and quality of life in patients with chronic heart failure complicated with renal insufficiency. Methods: chronic heart failure (CHF) patients who were treated in our department of cardiology in June-June-2015-06 were selected as study subjects. Two groups were divided into two groups: group A (group A) and group B (group B) with normal renal function. Each group was divided into two groups: group A (group A 1) and group B 1 (group B 1), group A 2 (group A) and group B 2 (group B 2) treated with routine drug therapy. The improvement of cardiac function and quality of life were compared. Results there was no significant difference in quality of life (QOL) and cardiac function among the 4 groups after admission. After 8 weeks, the cardiac function and quality of life of group A2 were significantly improved than those of group A1 and group B1, and that of group A2 was higher than that of group B2, and that of group A 2 was higher than that of group B 2, and that of group A 2 was significantly higher than that of group B 1. The improvement of cardiac function and quality of life was more obvious with statistical difference (P 0.05). Conclusion: cardiac rehabilitation exercise can improve the quality of life and heart function in patients with heart failure. Compared with patients with congestive heart failure complicated with renal insufficiency, cardiac rehabilitation can improve the quality of life and heart function in patients with chronic heart failure without renal insufficiency.
【作者单位】：秦皇岛市第一医院心内一科;
【分类号】：R541.6;R692.5

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