有氧运动康复治疗对慢性心力衰竭患者预后相关因素的影响重点解读.doc

有氧运动康复治疗对老年冠心病慢性心力衰竭患者预后相关因素的影响分析 [摘 要] 目的 探讨有氧运动康复治疗对老年冠心病合并慢性心力衰竭患者预后相关因素的影响。方法 经病史、体检、胸片、超声心动图等检查后确诊的200例老年冠心病合并慢性心力衰竭患者，随机分为2组，对照组给予强心、利尿、扩血管及β受体阻滞剂等常规治疗；观察组在常规治疗方案的基础上同时给予有氧运动康复训练，经过连续6月训练后，观察有氧运动康复治疗对慢性心衰患者心功能、NT-proBNPH-FABP水平及再次住院率的影响。结果 经过6个月的有氧运动康复训练，观察组心脏收缩功能和舒张功能均有明显改善，心功能分级、NT-proBNP及H-FABP表达水平降低，生活质量明显提高，再次住院率与对照组相比有显著差异，有氧运动治疗组患者在有氧运动治疗中未发生心衰加重、恶性心律失常等不良事件。结论 慢性心力衰竭患者在药物治疗的基础上，进行有氧运动康复治疗可以改善患者心功能、延缓病程进展、生活质量，降低再次住院率。 [关键词] ；；；心功能 Analysis the treatment of aerobic exercise rehabilitation on chronic heart failure related factors impacting prognoses in elderly patients with coronary heart disease [Abstract]: Objective To investigate the effect of aerobic exercise rehabilitation on prognosis related factors in elderly patients with chronic heart failure complicated with coronary heart disease. Metheds 200 elderly patients, which were diagnosed with chronic heart failure complicated with coronary heart disease through case history, clinical manifestations, chest X ray films and echocardiography, were divided into the observation group and the control group stochastically. The patients in control group was given routine treatment of heart failure. Apart from routine treatment, those patinets achieved the treatment of aerobic exercise re-habilitation rate in observation group. After 6 consecutive months training, to study the effect of aerobic exercise rehabilitation on prognosis related factors of chronic heart failure patients, such as heart function, NT-proBNP, H-FABP, quality of life, re-hospitalization rate and mortality. Results After 6 months, the cardiac functional grading, re-hospitalization rate, expression levels of NT-proBNP and H-FABP all were significantly reduced, and the quality of life were also improved. There were significant differences compared with the control group and no one occurrence of severe heart failure, malignant arrhythmia and other adverse events during the period of aerobic rehabilitation training. Conclusion On the basis o