以代谢当量为依据的个体化心脏运动康复训练对慢性心衰患者的影响

卢文君; 廖奕华; 邓云梅; 马艳丽; 胡晶晶; 李媛媛; 陈芬; 王兆薇

doi:10.12125/j.chj.202305053

以代谢当量为依据的个体化心脏运动康复训练对慢性心衰患者的影响

Influences of individualized cardiac exercise rehabilitation training based on metabolic equivalent on cardiopulmonary functions, 6MWT and quality of life in patients with chronic heart failure

摘要

摘要:
目的分析以代谢当量为依据的个体化心脏运动康复训练对慢性心衰患者心肺功能、6MWT及生活质量的影响。
方法本研究收集2020年6月～2022年6月本院收治的110例慢性心衰患者作为此次研究对象，按照随机数字表法分为对照组和观察组，每组55例。对照组给予患者常规的康复指导，观察组在对照组基础上实施以代谢当量为依据的个体化心脏运动康复训练；采用心脏彩超测量患者的心功能指标；采用心肺功能仪器检测心肺功能指标；6 min步行试验（6MWT）检测患者运动耐力；采用明尼苏达心力衰竭生活质量量表（MLHFQ）来进行生活质量的评估。
结果观察组和对照组LVEF在干预后显著高于干预前（均P<0.01），LVESD和LVEDD显著低于干预前（均P<0.01），观察组LVEF在干预后显著高于对照组（均P<0.01），LVESD和LVEDD显著低于对照组（均P<0.01）。观察组和对照组METs、峰值心率、VO₂peak干预后均显著高于干预前（均P<0.01），VE/VCO₂slope显著低于干预前（均P<0.01），观察组METs、峰值心率、VO₂peak在干预后显著高于对照组（均P<0.01），VE/VCO₂slope显著低于对照组（均P<0.01）。观察组和对照组6MWT干预后均显著高于干预前（均P<0.01），观察组6MWT在干预后显著高于对照组（P<0.01）。观察组和对照组症状、心理情绪、体力和社会受限评分干预后均显著低于干预前（均P<0.01），观察组症状、心理情绪、体力和社会受限评分在干预后显著低于对照组（均P<0.01）。
结论以代谢当量为依据的个体化心脏运动康复训练可以改善慢性心衰患者心肺功能，提高患者的6MWT及生活质量。

Abstract:
AIM To analyze the influences of individualized cardiac exercise rehabilitation training based on metabolic equivalent on cardiopulmonary functions, 6MWT and quality of life in patients with chronic heart failure.
METHODS This study included 110 patients with chronic heart failure admitted to our hospital from June 2020 to June 2022 as research subjects and the patients were divided into control group and observation group according to the random number table, with 55 patients in each group. The patients in control group were given routine rehabilitation guidance, while the patients in observation group were given individualized cardiac exercise rehabilitation training based on metabolic equivalent on the basis of the control group. Cardiac functions were measured by color Doppler echocardiography and cardiopulmonary functions were measured by cardiopulmonary function instrument. 6 minute walking test (6MWT) was used to measure the exercise tolerance and the Minnesota Living with Heart Failure Questionnaire (MLHFQ) was used to assess the quality of life.
RESULTS LVEF in observation group and control group was obviously higher after the intervention than before intervention (all P<0.01) and LVESD and LVEDD were obviously lower than those before intervention (all P<0.01). LVEF in observation group was obviously higher than that in control group after intervention (all P<0.01), and LVESD and LVEDD in observation group were obviously lower than those in control group (all P<0.01). METs, peak heart rate and VO₂peak in observation group and control group were obviously higher after the intervention than before intervention (all P<0.01) and VE/VCO₂ slope was obviously lower than that before intervention (all P<0.01). METs, peak heart rate and VO₂s peak in the observation group were obviously higher than those in the control group after intervention (all P<0.01), and VE/VCO₂ slope was obviously lower than that in the control group (all P<0.01). 6MWT in observation group and control group after intervention were obviously higher than those before intervention (all P<0.01) and 6MWT in observation group was obviously higher than that in control group after intervention (all P<0.01). The scores of symptoms, psychological emotion, physical strength and social limitation in the observation group and the control group were obviously lower after the intervention than before intervention (all P<0.01), and the scores of symptoms, psychological emotion, physical strength and social limitation in observation group were obviously lower than those in control group after intervention (all P<0.01).
CONCLUSION The individualized cardiac exercise rehabilitation training based on metabolic equivalent can improve the cardiopulmonary functions, 6MWT and quality of life in patients with chronic heart failure.

HTML全文

参考文献(20)

施引文献

资源附件(0)