心脏康复治疗对慢性心力衰竭患者运动心肺功能的影响

发布时间：2018-03-02 14:01

本文选题：心脏康复　切入点：有氧运动　出处：《内蒙古科技大学包头医学院》2015年硕士论文　论文类型：学位论文

【摘要】：目的探讨心脏康复治疗对慢性稳定性力衰竭患者运动心肺功能的影响。方法选取2014年1月至2014年6月就诊我院心内科的稳定期慢性心力衰竭患者44名,随机分为实验组22名和对照组22名,实验组给予常规治疗加心脏康复治疗3个月,对照组给予常规抗心衰治疗3个月,利用心肺运动试验(cardiopulmonary exercise testing,CPET)的检查方法,评定实验组和对照组的治疗效果,并比较两组试验前后运动心肺试验的差别。结果实验组实验前最大运动负荷:94.65±24.89W,试验后:102.6±26.74W;试验前最大代谢当量:4.75±1.01,试验后:5.24±1.23;实验前最大公斤耗氧量:15.87±3.91ml/kg,试验后:17.69±3.81 ml/kg;实验前最大氧脉搏:10.44±2.79 ml/beat,试验后:11.29±2.70ml/kg;实验前:最大通气量:86.50±28.37 L/min,试验后:89.20±29.47L/min;实验前最大摄氧量:1.27±0.35 l/min,实验后:1.34±0.36 l/min,P0.05,差别具有统计学意义。试验后优于实验前。对照组实验前最大代谢当量:4.37±1.09,试验后:4.55±1.07;实验前最大公斤耗氧量:14.58±3.51 ml/kg,试验后:15.23±3.87 ml/kg;P0.05,差别具有统计学意义,试验后优于试验前。实验组前后最大运动负荷的差的均数和标准差为:7.95±6.57W,对照组实验前后最大运动负荷差:-0.1±6.37W;实验组最大代谢当量增长:0.49±0.50,对照组最大代谢当量增长:0.15±0.29;实验组最大公斤耗氧量增加:1.82±1.14 ml/kg,对照组最大公斤耗氧量增加后:0.61±0.82ml/kg;实验组最大氧脉搏增加:0.86±0.85ml/beat,对照组最大氧脉搏增加:0±0.68ml/kg;实验组最大通气量增加:2.70±2.94 L/min,对照组大通气量变化:-0.50±3.14L/min;实验组体重变化:-1.64±3.04kg,对照组体重变化:0.11±1.33kg。P0.05,差别具有统计学意义。实验组和对照组对各项指标有效率的比较中,实验前后体重下降有效率实验组高于对照组,P0.05。结论常规治疗结合心脏康复治疗的方法在改善慢性稳定性心力衰竭患者运动心肺功能方面优于单纯常规治疗。常规治疗结合心脏康复治疗和单纯常规治疗对慢性稳定性心力衰竭患者的运动心肺功能影响的有效率相同,对患者体重影响的有效率比较中常规治疗结合心脏康复治疗优于单纯常规治疗。
[Abstract]:Objective to investigate the influence of cardiac rehabilitation on exercise in patients with chronic stable heart and lung function failure. Methods from January 2014 to June 2014 in our hospital department of cardiology patients with stable chronic heart failure in 44 patients, were randomly divided into experimental group 22 and control group 22, the experimental group treated with routine therapy plus cardiac rehabilitation for 3 months, the control group the routine anti heart failure treatment for 3 months, using cardiopulmonary exercise test (cardiopulmonary exercise, testing, CPET) examination method, evaluation of the experimental group and the control group treatment effect difference was compared between two groups before and after cardiopulmonary exercise test. The test results in the experimental group before the experiment the maximum exercise load: 94.65 + 24.89W, after test: 102.6 + 26.74W; test maximum metabolic equivalent: 4.75 + 1.01, 5.24 + 1.23; after test: before the experiment the maximum oxygen consumption: 15.87 kg + 3.91ml/kg, after the test: 17.69 + 3.81 ml/kg; the maximum oxygen before the experiment. Pulse: 10.44 + 2.79 ml/beat, after test: 11.29 + 2.70ml/kg; before the experiment: the maximum ventilation volume: 86.50 + 28.37 L/min, after test: 89.20 + 29.47L/min; the maximum oxygen uptake: 1.27 + 0.35 l/min, after the experiment: 1.34 + 0.36 l/min, P0.05, the difference has statistical significance. The test is better than experiment the control group before the experiment. The maximum metabolic equivalent: 4.37 + 1.09, 4.55 + 1.07; after test: before the experiment the maximum oxygen consumption: 14.58 kg + 3.51 ml/kg, after the test: 15.23 + 3.87 ml/kg; P0.05, the difference was statistically significant, after the test is better than before the test. The experimental group before and after maximal exercise load was poor the number and standard deviation is 7.95 6.57W, the control group before and after the experiment the maximum motor load difference: -0.1 + 6.37W; experimental group maximum metabolic equivalent growth: 0.49 + 0.50, the control group maximum metabolic equivalent growth: 0.15 + 0.29 kg; experimental group maximum oxygen consumption increased: 1.82 + 1.14 ml/kg, control group The large increase of oxygen consumption: 0.61 kg + 0.82ml/kg; experimental group, maximal oxygen pulse increase: 0.86 + 0.85ml/beat control group, maximal oxygen pulse increase: 0 + 0.68ml/kg; experimental group maximum ventilation increase: 2.70 + 2.94 L/min, Datong gas control change group: -0.50 + 3.14L/min; experimental group body weight change: -1.64 + 3.04kg the control group, the changes of body weight: 0.11 + 1.33kg.P0.05, the difference was statistically significant. Comparing the experimental group and control group on the efficiency of the index, weight loss before and after the experiment the efficiency of the experimental group was higher than that of the control group, P0.05. conclusion conventional treatment method combined with cardiac rehabilitation in improving cardio pulmonary function in patients with chronic heart failure than stability the conventional treatment. The effective rate of conventional treatment combined with the effect of exercise cardiopulmonary function in cardiac rehabilitation and routine treatment on patients with stable chronic congestive heart failure in patients with the same. Conventional therapy combined with cardiac rehabilitation is better than conventional treatment in the effective comparison of weight influence.

【学位授予单位】：内蒙古科技大学包头医学院
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R541.6

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