|本期目录/Table of Contents|

[1]刘达瑾,姜芳荣,孔永梅.心脏运动康复对慢性心力衰竭患者心肺功能、血浆NT-proBNP水平及生活质量的影响[J].慢性病学杂志,2018,(10):1309-1314.
　LIUDa-jin *,JIANGFang-rong,KONGYong-mei.Effect of cardiac exercise rehabilitation on cardio- pulmonary function, NT-proBNP level and quality of life in patients with chronic heart failure[J].,2018,(10):1309-1314.
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心脏运动康复对慢性心力衰竭患者心肺功能、血浆NT-proBNP水平及生活质量的影响(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2018年10期
页码:
1309-1314
栏目:
心肺预防康复
出版日期:
2018-10-19

文章信息/Info

Title:
Effect of cardiac exercise rehabilitation on cardio- pulmonary function, NT-proBNP level and quality of life in patients with chronic heart failure
作者:
刘达瑾1; 姜芳荣1; 孔永梅2
1.山西医科大学第一临床医院心血管内科，太原 030001； 2.山西医科大学附属山西省心血管病医院康复科，太原 030024
Author(s):
LIUDa-jin * ; JIANGFang-rong; KONGYong-mei
*DepartmentofCardiology, theFirstClinicalHospital,ShanxiMedicalUniversity,Taiyuan,Shanxi030001,China Correspondauthor:JIANG Fang-fong,E-mail:623035625@qq.com
关键词:
慢性心力衰竭; 运动康复; 心肺功能; 生活质量; 心肺运动试验
Keywords:
Chronic heart failure;  Physical rehabilitation;  Cardiopulmonary function;  Quality of life;  Car-diopulmonary exercise test
分类号:
R541.6
DOI:
-
摘要:
目的 研究运动康复在慢性心力衰竭（CHF）患者治疗中的应用效果。方法 选取2015年10月—2017年 2月CHF患者98例，按就诊先后顺序和参与意愿分为对照组和康复组，各49例。对照组给予常规的抗心衰治疗 和基础疾病治疗；康复组在对照组的基础上，应用心肺运动试验（CPET）整体评估患者的心肺功能，制定符合 个体的运动处方进行运动康复治疗。分别于入选时和运动治疗6个月后采集所有患者包括CPET检查的相关指 标、心脏超声参数、血生化指标、6 min步行距离（6MWD）及心衰生活质量问卷调查表（QoL评分）等所有相 关数据的结果进行统计分析。结果 与同组治疗前和对照组治疗后比较，康复组治疗后无氧阈（AT）、最大摄 氧量（VO2max）、氧脉搏（O2 pules）、最大通气量（MVV）、左心室射血分数（LVEF）、左心室收缩末期容积 （LVESV）、左心室舒张末期容积（LVEDV）、6MWD升高，血浆B型氨基酸利钠肽原（NT-proBNP）水平和 QoL评分降低，差异均有统计学意义（P＜0.05）。结论 心脏运动康复治疗不仅能够改善CHF患者的心肺功 能，同时还能降低NT-proBNP水平以及提高患者运动耐力和生活质量。
Abstract:
Objective To explore the effects of cardiac rehabilitation on patients with chronic heart fail-ure（CHF）. Methods Totally98 CHF cases were selected from October2015 to February 2017 and divided into control group and rehabilitation group according to the order of treatment and the will-ingness to participate, 49 cases in each group. The patients of control group were given routine anti-heart failure treatment and etiological treatment. On the basis of the control group, the patients of re-habilitation group were evaluated by using cardiopulmonary exercise test（CPET）and treated with an individual exercise prescription. CPET related indexes, parameters of echocardiography, blood biochemi-cal indexes, 6 min walking distance（6MWD）and quality of life questionnaire data（QoL score）at the beginning and 6 months after treatment were collected and statistically analyzed.Results Com-pared with the same group before treatment and control group after treatment, anaerobic threshold （AT）, VO2max, O2 pulse, maximal ventilatory volume （MVV）, left ventricular ejection fraction （LVEF）, left ventricular end systolic volume （LVESV）, left ventricular end- diastolic volume （LVEDV）, 6MWD were increased, and NT-proBNP level and QoL score were decreased（P<0.05）. Conclusion Cardiac rehabilitation exercise treatment not only can improve the CHF patients' cardiopulmonary function, but also reduce NT-proBNP level and improve exercise endurance and quali-ty of life.

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备注/Memo

备注/Memo:
基金项目：山西省科技计划项目（20150313011-8） 作者简介：刘达瑾，博士，主任医师，硕士研究生导师，主要从事心血管内科疾病诊治与心脏康复研究 通信作者：姜芳荣，E-mail: 623035625@qq.com
更新日期/Last Update: 2018-10-30