Influence of exercise rehabilitation based on medical treatment combination model on patients with chronic heart failure
10.3969/j.issn.1008-0074.2023.06.03
- VernacularTitle:基于医联体模式下的运动康复对慢性心力衰竭患者的影响
- Author:
Gai-Ling QIANG
1
;
Hai-Ge ZHANG
;
Jian ZHANG
Author Information
1. 中国人民解放军空军军医大学第二附属医院心血管内科,陕西 西安 710038
- Keywords:
Heart failure;
Exercise therapy;
Quality of life
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2023;32(6):560-564
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study influence of exercise rehabilitation based on medical treatment combination model on patients with chronic heart failure(CHF).Methods:A total of 110 CHF patients treated in our hospital were ran-domly and equally divided into routine nursing group and exercise rehabilitation group(received exercise rehabilita-tion on the basis of medical treatment combination model based on routine nursing group).Both groups were inter-vened for 12 week.s Peak oxygen uptake(Peak VO2),Peak work rate(Peak WR),anaerobic threshold(AT),ratio of peak VO2 to heart rate(Peak VO2/HR),score of Minnesota living with heart failure questionnaire(MLHFQ)and 6min walking distance(6MWD)before and after intervention and incidence rate of major adverse cardiovascular events(MACE)were compared between two groups.Results:There were three cases lost during intervention in each group.Compared with routine nursing group,after intervention,there were significant rise in Peak VO2[(13.92±0.88)ml·min-1·kg-1 vs.(16.00±0.84)ml·min-1·kg-1],Peak VO2/HR[(8.92±0.81)ml/beat vs.(9.83±0.79)ml/beat],AT[(684.10±74.11)ml/min vs.(827.38±98.56)ml/min]and 6MWD[(470.12±42.76)m vs.(502.21±26.54)m],and sig-nificant reductions in Peak WR[(79.85±6.10)W vs.(72.65±5.48)W]and MLHFQ score[(49.17±3.96)scores vs.(36.38±3.57)scores]in exercise rehabilitation group(P=0.001 all).Incidence rate of MACE in exercise rehabili-tation group was significantly lower than that of routine nursing group(0.36%vs.15.38%,P=0.046).Conclusion:Ex-ercise rehabilitation based on medical treatment combination model can significantly improve cardiopulmonary function and exercise endurance,reduce incidence rate of adverse cardiovascular events and improve short-term quality of life in pa-tients with chronic heart failure.
