首页> 中文期刊>护理实践与研究 >运动康复护理对慢性心功能不全患者心肌酶谱及生活质量的影响

运动康复护理对慢性心功能不全患者心肌酶谱及生活质量的影响

     

摘要

Objective: To explore the effect of functional recovery nursing on myocardial enzymes and life quality of patients with chronic cardiac insufficien-cy.Methods:Selected 110 patients with chronic cardiac insufficiency and they were equally divided into control group and observation group at random .In the process of treatment, conventional nursing was given to the patients in the control group , and functional recovery nursing was given to the patients in the observation group on the basis of the control group.Results: (1) Before the nursing intervention, the difference between the patients from the two groups in left ventricular ejection fraction (LVEF) and left ventricular end diastolic diameter (LVDd) was not of statistical significance(P>0.05).After the nurs-ing intervention, the patients from the observation group had a significantly higher LVEF than those from the control group , and the patients from the obser-vation group had a significantly lower LVDd than those from the control group, and the difference was of statistical significance(P<0.05).(2)Before the nursing intervention, the difference between the patients from the two groups in serum creatine kinase (CK), creatine kinase MB isozyme (CK-MB), lac-tic dehydrogenase (LDH), andα-hydroxybutyrate dehydrogenase (HBDH) was not of statistical significance(P>0.05).After the nursing intervention, the patients from the observation group had significantly lower CK, CK-MB, LDH, and HBDH than those from the control group, and the difference was of statistical significance(P<0.05).(3) Before the nursing intervention, the difference between the patients from the two groups in Minnesota heart fail-ure quality of life scale (LiHFe) was not of statistical significance(P>0.05).After the nursing intervention, the patients from the observation group were significantly inferior to those from the control group , and the difference was of statistical significance ( P<0 .05 ) .Conclusion: Functional recovery nursing could significantly improve the cardiac function of patients with chronic cardiac insufficiency , so as to further reduce the various indicators of serum myocar-dial enzyme spectrum of the patients and improve their life quality .%目的:探讨运动康复护理对慢性心功能不全患者心肌酶谱及生活质量的影响.方法:随机将110例慢性心功能不全患者等分为对照组和观察组,对照组患者在治疗过程中采用常规护理,观察组患者则在对照组基础上采用运动康复护理.结果:(1)护理干预前,两组患者左室射血分数(LVEF)、左室舒张末期内径(LVDd)相比差异无统计学意义(P>0.05).护理干预后,观察组LVEF显著高于对照组,LVDd显著低于对照组,差异有统计学意义(P<0.05).(2)护理干预前,两组患者血清肌酸激酶(CK)、肌酸激酶MB同工酶(CK-MB)、乳酸脱氢酶(LDH)、α-羟丁酸脱氢酶(HBDH)相比差异无统计学意义(P>0.05).护理干预后,观察组血清CK、CK-MB、LDH、HBDH显著低于对照组,差异有统计学意义(P<0.05).(3)护理干预前,两组患者明尼苏达心力衰竭生活质量量表(LiHFe)评分相比差异无统计学意义(P>0.05).护理干预后,观察组LiHFe评分显著低于对照组,差异有统计学意义(P<0.05).结论:运动康复护理可以显著改善慢性心功能不全患者的心功能,从而进一步降低患者血清心肌酶谱各项指标,并提高患者生活质量.

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