运动康复治疗对合并肾功能不全的慢性心力衰竭患者心功能及生活质量的影响研究.docxVIP

运动康复治疗对合并肾功能不全的慢性心力衰竭患者心功能及生活质量的影响研究 　　【摘要】目的：探究運动康复治疗对合并肾功能不全的慢性心力衰竭患者心功能及生活质量的影响。方法：选取笔者所在医院2017年1月-2018年12月90例合并肾功能不全的慢性心力衰竭患者，将其随机分为联合组和常规组，各45例。常规组施行常规治疗，联合组在常规组基础上给予运动康复治疗模式。比较两组治疗效果、生活质量、治疗前及治疗6个月后心功能相关指标、nyha心功能分级、再住院率。结果：联合组治疗总有效率高于常规组，差异有统计学意义（p0.05）。联合组生活质量评分优于常规组，差异有统计学意义（p0.05）。治疗前两组心功能相关指标比较差异无统计学意义（p0.05）;治疗后6个月联合组心功能相关指标均优于常规组，差异有统计学意义（p0.05）。联合组治疗后nyha心功能分级显著优于常规组，差异有统计学意义（p0.05）。联合组6个月内再住院率低于常规组，差异有统计学意义（p0.05）。结论：合并肾功能不全的慢性心力衰竭者实施运动康复治疗模式效果较好，可改善心功能及生活质量，降低再住院率。 　　【关键词】运动康复治疗合并肾功能不全慢性心力衰竭心功能生活质量影响 　　[abstract]objective：toexploretheeffectsofexerciserehabilitationtreatmentoncardiacfunctionandqualityoflifeinpatientswithchronicheartfailurecomplicatedwithrenalinsufficiency.method：ninetypatientswithchronicheartfailurecomplicatedwithrenalinsufficiencyinourhospitalfromjanuary2017todecember2018wereenrolled.theywererandomlydividedintothecombinedgroupandtheroutinegroup，with45casesineachgroup.theroutinegroupreceivedroutinetreatment，andthecombinedgroupreceivedexerciserehabilitationtreatmentonthebasisoftheroutinegroup.thetreatmenteffect，qualityoflife，cardiacfunctionindexbeforetreatmentand6monthsaftertreatment，nyhacardiacfunctiongradeandre-hospitalizationratewerecomparedbetweenthetwogroups.result：thetotaleffectiverateofthecombinedgroupwashigherthanthatoftheconventionalgroup，andthedifferencewasstatisticallysignificant（p0.05）.thequalityoflifescoreofthecombinedgroupwasbetterthanthatoftheroutinegroup，andthedifferencewasstatisticallysignificant（p0.05）.therewasnosignificantdifferenceincardiacfunctionbetweenthetwogroupsbeforetreatment（p0.05）.after6monthsoftreatment，thecardiacfunctionofthecombinedgroupwasbetterthanthatintheroutinegroup，andthedifferencewasstatisticallysignificant（p0.05）.aftertreatment，nyhacardiacfunctiongradeinthecombinedgroupwassignificantlybetterthanthatintheroutinegroup，thedifferencewasstatisticallysignificant（p0.05）.there-hospitalizationrateofthecombinedgroupwithin6monthswaslowerthanthatoftheroutinegroup，andthedifferencewasstatisticallysi