Rehabilitation therapeutic effect of aerobic exercise in aged patients with chronic heart failure
10.3969/j.issn.1008-0074.2015.04.02
- VernacularTitle:老年慢性心衰患者进行有氧运动的康复疗效
- Author:
Zhengwen LIU
- Publication Type:Journal Article
- Keywords:
Aged;
Heart failure;
Rehabilitation
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2015;24(4):356-359
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore safety and therapeutic effect of aerobic rehabilitative exercise in patients with chro-nic heart failure (CHF).Methods:A total of 118 aged CHD patients were selected.According to random number table method,patients were randomly divided into routine treatment group and aerobic exercise group.Patients were followed up for six months,and cardiac function and related indexes were compared between two groups.Re-sults:Compared with before treatment,after six-month intervention,there were significant improvements in NY-HA class,left ventricular ejection fraction (LVEF)and left ventricular end-diastolic dimension (LVEDd)in both groups,P <0.01 all;compared with routine treatment group,there was significant improvement in NYHA class [(1.84±0.51)classes vs.(1.51±0.33)classes],significant rise in LVEF [(41.12±6.09)% vs.(44.51±6.34)%] and 6min walking distance [6MWD,(165.87± 19.85)m vs.(256.42±21.07)m],and significant reductions in LVEDd [(54.09±1.98)mm vs.(50.43±2.56)mm],P <0.01 all;and recurrence rate (13.56% vs.1.69%,P<0.05)in aerobic exercise group,P <0.05;during follow up,a total of two cases (3.39%)died in routine treat-ment group,and no one died in aerobic exercise group,there was no significant difference between two groups (P >0.05).Conclusion:Aerobic training can significantly improve cardiac function of CHF patients,it's safe and effec-tive,and suitable for secondary prevention of CHF patients.