慢性心力衰竭患者6周康复运动治疗的临床观察-老年医学专业毕业论文.docxVIP

硕士学位论文 硕士学位论文 中文摘要 3．运动平板时间：实验组和对照组患者通过治疗，其运动平板 时间均较治疗前有显著提高(p0．01)。但治疗后两组相比较，实验 组提高的水平显著高于对照组(p0．001)。 4．运动平板的最大代谢当量(METS)：实验组和对照组患者通 过治疗，其运动平板的最大代谢当量均较治疗前有提高(p0．05)。 治疗后两组相比较，实验组较对照组提高更显著(p0．05)。实验组 提高的水平显著高于对照组(胚0．001)。 5．明尼苏达心衰生活质量表评分：实验组和对照组患者通过治 疗，患者生活质量较治疗前明显提高，其明尼苏达心衰生活质量表评 分则有明显降低(p0．05)。治疗后两组相比较：实验组较对照组降 低更显著(卿．01)。 6．血浆脑钠肽(BNI，)：实验组和对照组患者通过治疗，无明显降 低(矿0．05)。治疗后两组相比较：实验组较对照组提高亦无显著性 差异(p0．05)。 7．左室射血分数(LⅥ谭)：实验组和对照组患者通过治疗，无明 显提高(p0．05)。治疗后两组相比较：实验组较对照组提高无显著 性(矿0．05)。 结论： 1、6周康复运动治疗显著提高已接受药物治疗的慢性心力衰竭 患者的心功能分级运动耐量和生活质量。 2、6周康复运动治疗对已接受药物治疗的慢性心力衰竭患者的 血浆脑钠肽水平和左室射血分数改善不明显。 关键词：慢性心力衰竭，康复运动 Ⅱ 硕士学位论文 硕士学位论文 英文摘要 Abstract objectives： To evaluate whether six-weeks rehabilitation exercises can improve the exercise capacity and the quality of life in patients with chronic heart failure(CHF)treated by drug． Subjects and Methods： We studied 50 patients(Heart Function NYHA II—111)with CHF． Patients were randomized into two groups． Experimental group：Twenty—five patients with CHF were received six—weeks rehabilitating exercise as well as regular treatments． Control group：Other Twenty—five patients with CHF were received regular treatments． At the third day and the forty-fifth day all patients underwent the distance of six—minites walk text,finished time and METS of exercise testing，the sore of life questionnaire of Minnesota in heart failure subjects，and all patients were measured BNP and LVEF． Results： At 6 weeks，Classification of heart function，the distance of six—minites walk text extension，finished time of exercise testing and METS of exercise testing were all improved from baseline in experimental group①0．05)．And at 6 weeks，finished time ofexercise ⅡI 硕士学位论文 硕士学位论文 英文摘要 testing and METS of exercise testing were all improved from baseline in control group(pO．05)．The sore of life questionnaire of Minnesota in heart failure subjects were decreased in experimental group and control group 0O．05)．After treating，those were increased signifiantly in experimental group compare