Abstract：Objective: To evaluate the efficacy of exercise therapy in elderly patients with chronic heart failure with preserved left ventricular ejection fraction (HF-PEF). Methods: 130 elderly patients with chronic HF-PEF were divided into the observation group and the control group. The two groups were all received conventional medical treatment, but the observation group was given exercise therapy additionally. Before treatment and 8 weeks after treatment, the 6 minute walking distance, cardiac function level, left ventricular ejection fraction, plasma N terminal B type natriuretic peptide precursor (NT-proBNP) and quality of life score were collected and analyzed in two groups. After 24 weeks of follow-up, the readmission rate and fatality rate were compared between the two groups. Results: After treatment, all the indexes of the two groups were improved (P<0.05), and all indexes in the observation group (except left ventricular ejection fraction) were significantly better than those in the control group (P<0.05). The rate of readmission in the observation group was significantly lower than that of the control group (P<0.05). Conclusions: Exercise therapy based on routine drug therapy can significantly improve cardiac function, exercise endurance and quality of life in elderly patients with chronic HF-PEF.
周茂松, 孙晓玫, 李莉. 运动疗法对老年慢性左心室射血保留的心力衰竭患者的疗效研究[J]. 河北医学, 2018, 24(3): 419-422.
ZHOU Maosong, SUN Xiaomei, LI Li. Therapeutic Effect of Exercise Therapy on Chronic Left Ventricular Ejection in Elderly Patients with Heart Failure. HeBei Med, 2018, 24(3): 419-422.
[1] 戴玫,付珞,赵新,等.步行运动对左心室射血分数保留心力衰竭患者的运动耐力的影响[J].重庆医学,2016,45(12):1627~1631. [2] 王玲.康复运动疗法治疗慢性心力衰竭的疗效观察[J].中国医药导刊,2014,16(2):248~249. [3] 薛飞龙.MOTOmed运动疗法对慢性心力衰竭患者心功能的影响[J].福建医药杂志,2015,37(6):51~53. [4] 陈建平,徐爱建,刘秋仙.慢性充血性心力衰竭患者运动疗法的疗效观察[J].心电与循环,2013,32(4):308~309. [5] 闫明昌,赵春芝,张东菊,等.6min步行试验和脑钠肽对缬沙坦治疗慢性充血性心力衰竭的疗效评价[J].中国医学创新,2013,10(4):1~3. [6] Yamamoto K ,Origass H ,Hori M. Effects of carvedilol on hear familure with preserved ejection fraction: the Japanese diastolic hear failure study (J-DHF) [J].Eur Heart Fail,2013,15:110~118. [7] 刘春霞. 舒张性心力衰竭的发病机制和治疗进展[J].心血管病学进展,2013,34(2):254~255. [8] Vanhees L, Rauch B,Piepoli M,et al.Importance of charecterisitics and modalities of physical activity and exercise in the management of cardiovascular health in indibiduals with cardiovascular disease (Part DI)[J]. Eur Prev Cardio,2012,19(5):1333~1356. [9] 胡 硕, 刘子由.心功能分级评估相关研究进展[J].赣南医学院学报,2017,37(3):442~445. [10] Edelmann F, Gelbrich G,Düngen HD,et al. Exercise with heart failure with preserved ejection fraction: results of the Ex-DHF( Exercise training in Diastolic Heart Failure) pilot study[J].Am Coll Cardiol, 2011, 58( 17) : 1780~1791. [11] 李红霞.6MWT对慢性心力衰竭患者心功能的评估价值[J].深圳中西医结合杂志,2016(8):128~129. [12] Busch J C,Lillou D,Wittig G,et al.Resistance and balance training inproves functional capacity in very old participangts attending cardiac rehabilitation after bypass surgery[J].Am Geriatr Soc,2012,60(7):2270~2276.
2018, Vol. 24 
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