8周家庭心肺康复训练对40 ~ 60岁心力衰竭患者心脏功能的影响

Thrita Pub Date : 2023-08-28 DOI:10.5812/thrita-138836
Zahra Yousefi Chermahini, Habib Asgharpour, Amir Sobhrakhshan Khan, Neda Aghaei Bahmanbeglou
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引用次数: 0

摘要

背景:康复治疗有助于改善心力衰竭患者的病情和生活质量。有些病人没有机会使用专门为他们设计的诊所的康复服务。目的:探讨8周家庭心肺康复训练对40 ~ 60岁心力衰竭患者心脏功能的影响。方法:采用半经验设计将43例心力衰竭患者分为康复组(n = 13)、康复运动结合呼吸运动组(n = 15)和对照组(n = 15)。测试前后分别测量静息心率、静息时收缩压和舒张压、射血分数、通气量、最大耗氧量(VO2 max)。结果:心肺康复训练对患者静息心率、静息收缩压、舒张压、通气量无显著影响(P > 0.05)。然而,呼吸运动显著增加了注射分数和最大摄氧量。结论:至少在某些情况下,可以增强呼吸肌的运动可以进一步帮助心力衰竭患者。要改善心血管功能,可能需要比在家锻炼更剧烈、更有控制的锻炼。
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The Effect of Eight Weeks of Home Cardiorespiratory Rehabilitation Exercise on the Cardiac Performance of 40-60-Year-Old Patients with Heart Failure
Background: Rehabilitation can help improve the condition and quality of life of patients with heart failure. Some patients do not have the opportunity to use the rehabilitation services of clinics specifically designed to help them. Objectives: This study investigated the effect of eight weeks of home cardiorespiratory rehabilitation exercise on the cardiac performance of 40-60-year-old patients with heart failure. Methods: Forty-three subjects with heart failure were divided into three groups in a semi-empirical design: Rehabilitation (n = 13), rehabilitation exercise with respiratory exercise (n = 15), and control (n = 15). Resting heart rate, systolic and diastolic blood pressure at rest, ejection fraction, ventilatory threshold, and maximal oxygen consumption (VO2 max) were measured before and after the test. Results: The results indicated no significant effect of cardiorespiratory rehabilitation exercise on the patients' resting heart rate, resting systolic and diastolic blood pressure, and ventilatory threshold (P > 0.05). However, the respiratory exercise significantly increased the injection fraction and VO2 max. Conclusions: Exercises that can reinforce respiratory muscles can further help patients with heart failure, at least in some cases. More intense and controlled exercises than home exercises may be required to improve cardiovascular performance.
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