| 赵亚赛,张俊雨,李媛媛,李探探.程序性运动疗法与常规药物对老年心衰病人运动耐力、Tei指数及心功能的改善研究[J].实用中西医结合临床,2023,23(17): |
| 程序性运动疗法与常规药物对老年心衰病人运动耐力、Tei指数及心功能的改善研究 |
| Improvement of exercise tolerance, Tei index and cardiac function in elderly patients with heart failure by procedural exercise therapy and conventional drugs |
| 投稿时间：2023-03-28 修订日期：2023-05-11 |
| DOI： |
| 中文关键词: 老年 心衰 运动疗法 常规药物 运动耐力 Tei指数 心功能 |
| 英文关键词: |
| 基金项目: |
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| 中文摘要: |
| 目的：研究老年心衰病人开展程序性运动疗法与常规药物联合干预,对其运动耐力、Tei指数以及心功能的改善作用。方法：纳入我院收入的老年心衰病人80例,最早入院时间2020年10月,最晚时间2022年2月,依据入院时间分为两组,一组为参照组(n=40),仅以常规药物方案实施干预,另一组为研究组(n=40),则在常规药物干预前提下,联合开展程序性运动疗法,干预4个月后,进行组间运动耐力、Tei指数、血清N末端脑钠肽前体(NT-proBNP)以及心功能改善效果对比。结果：干预后,与参照组相比,研究组的运动耐量、6min步行试验(6MWT)距离均明显更高(P＜0.05)；与参照组相比,研究组的Tei指数、NT-proBNP均更低(P＜0.05)；与参照组相比,研究组的左心室射血分数(LVEF)明显更高,而左室舒张末内径(LVEDD)则明显更低(P＜0.05)。结论：老年心衰病人在常规药物干预前提下,同时配合以程序性运动疗法,可有效强化病人运动耐力,降低其Tei指数与NT-proBNP水平,促进病人的心功能改善,对其病情控制有积极作用,推广价值较高。 |
| 英文摘要: |
| Objective: To study the improvement of exercise tolerance, Tei index and cardiac function in elderly patients with heart failure by combined intervention of procedural exercise therapy and conventional drugs.Methods: 80 elderly patients with heart failure included in our hospital"s income. The earliest admission time was October 2020, and the latest was February 2022. They were divided into two groups according to the admission time. One group was the reference group (n=40), only The intervention was carried out with the conventional drug program, and the other group was the research group (n=40). Under the premise of conventional drug intervention, procedural exercise therapy was combined. After 4 months of intervention, the inter-group exercise tolerance, Tei index, serum Comparison of the improvement effect of N-terminal pro-brain natriuretic peptide (NT-proBNP) and cardiac function.Results: After intervention, compared with the reference group, the exercise tolerance and 6-min walking test (6MWT) distance of the study group were significantly higher (P<0.05); compared with the reference group, the Tei index and NT-proBNP of the study group were significantly higher. Compared with the reference group, the left ventricular ejection fraction (LVEF) of the study group was significantly higher, while the left ventricular end-diastolic diameter (LVEDD) was significantly lower (P<0.05).Conclusion: Under the premise of routine drug intervention, combined with procedural exercise therapy, elderly patients with heart failure can effectively strengthen exercise tolerance, reduce their Tei index and NT-proBNP level, promote the improvement of patients" cardiac function, and have a good effect on the control of their disease. Positive effect, high promotion value. |
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