运动康复路径在老年慢性心力衰竭患者运动康复中的应用

摘要

Objective To investigate the effect of exercise rehabilitation on the rehabilitation of elderly patients with chronic heart failure.Methods One hundred elderly patients with chronic heart failure were randomly divided into study group and control group in equal number using random digits table.The patients in the two groups were given regular exercise and nursing and those of the study group rehabilitation training on the basis of conventional care.Results After 3 months care,the scores on LVESV,LVEDV, LVEF and NYHA in the study group were significantly improved compared to the control group (all P<0.05).After nursing,6 min walking distance of the study group was significantly longer than that of the control group (P<0.05).The rate of readimission in the study group was significantly lower than that of the control group (P<0.05).Conclusions For elderly patients with chronic heart failure, exercise rehabilitation is effective and safe,and can improve the cardiac function.The exercise performance and life quality also can shorten hospitalization time,decrease readmission rate and promote rehabilitation of patients.%目的：探讨运动康复路径在老年慢性心力衰竭患者运动康复中的应用效果。方法采用随机数字表法，将100例老年慢性心力衰竭患者分为研究组和对照组，每组各50例，对照组实施常规护理，研究组采用运动康复路径对患者实施康复运动干预。观察患者各项心功能指标情况和再住院率。结果经过康复运动后，研究组患者左室射血分数（left ventricular ejection fraction，LVEF）、左心室舒张末容积（left ventricular volume index of diastolic end，LVEDV）、左心室收缩末容积（left ventricular endystolic volume，LVESV）均优于干预前和对照组；6min步行距离大于干预前和对照组；再住院率低于对照组（均P＜0.05）。结论实施运动康复路径可提高老年慢性心力衰竭患者康复运动的主动性和积极性，进而有效改善老年慢性心力衰竭患者的心功能，提高患者运动耐力，降低再住院率，促进患者康复。