呼吸功能训练对重度心力衰竭患者康复有什么影响

severeheartfailurezengzhen*yangbo*he*departmentofcardiology,renminhospital,wuhanuniversity,wuhan430060,chinawuhan430060,china【abstract】objectivetoinvestigatetheinterventioneffect0f4weekrespiratoryfunctiontraininginpatientswithsevereheartfailure．andprovideevidencesforeffectiveinterventionofrehabilitationforpatientswithsevereheartfailure.methods120inpatientswererandomlydividedintotwogroups，traininggroupandcontrolgroup.thepatientsintwogroupweregivenroutinemedicine.butthepatientsintraininggroupweretrainedinpatientsbypursedlipabdominalrespiratoryexercises，andrespiratorygymnasticstraining．aserialofcontentswhichrelatedwithsevereheartfailurewereobservedandtheclinicaldataofthepatientswereevaluatedtheinpatients＇clinicaldatawereinquired.statisticalanalysiswereperformedusingt-testandanova.resultscomparedwithcontrolgroup，thelevelofbnpandlvefscoresdidn’timprovedinrehabilitationexercisegroup．allindexesofsymptomsandlifequalitywereimprovedtoacertainextentinthetraininggroup．conclusionsrespiratoryfunctiontrainingplaniseffectivealthoughcardiacfunctionofthetraininggrouppatientsdidnotenforcesignificantly，theplancouldimprovetheclinicalsyndromes，enhancethelifequalityofthepatients．【keywordssevereheartfailure，respiratoryfunction【中图分类号】r541 标记码】b 编号】1007-8231（）07-0361-030.9%[1]。大量的心力衰竭患者，特别是重度心力衰竭患者，长1衰竭。排除肺部疾病、24holter60293155～8066.2±岁，平均(65.4±10.3)岁；nyha3030例。2>6(lvef)均[4]。0；1；2气促；3490m气促被迫停止活动；5日常生活活动能力评定：采用日常生活活动能力量表barthel累程度(ratingofperceivedexertion，rpe)borg[5]2ml，待血浆分离100μlrelialvefhp5500lvef在实验结束时与对照组比较有不同程度的改善。mrc（t=8.366，p0.05）lvef%（t=1.199p>0.05）480能力减少[53]。这些变化可造成呼吸肌功效障碍，呼吸能力下降l0nyhaⅱ—ⅲ级患者每分钟耗肺活量提高，呼吸肌肌力明显提高，亚极量和撮量运动能力提高呼吸功效训练对于心衰患者确实起到了减轻临床症状及提高生量、延长训练时间临床追踪进一步研究。中华心血管杂志，31(1)：3-6.effectivemanagementprogrammforheartfailurereduceshospitalization[j]．heart，1998，80(5)：442—446．gosselinkr．breathingtechniquesinpatientswithchronicobstructivepulmonarydisease(copd)．chronrespirdis，10：163-jcpauleagarrodreta1usefulnessmedicalresearchcouncil(mrc)dyspnoeascaleasameasurescisportsexerc,1982,14:377-381sullivanmj，higginbothammb，cobbfr．exercisetraininginpatientswithsevereleftventriculardysfunctionhemodynamiceffectscirculation，hornigb，maierv，drexlerh．physicaltrainingimprovesendothelialfunctioninpatientswithchronicheart210— o,etal.amheartj,1993,edwardswpathologyofpulmonaryhypertension.inkapoora,etal(eds):cardionryopethiesandheartlungtransplantation.newyork,ny,megrawhill,1991,377-402.kindmsna.palmonaryabnormalitiesincongestiveheartfailure.atheraperzticopportunity.in:kennedyg,lssues.futura:aemonkny,1994.39-nishirazuray,etlecarpentiery,etal.amrevrespirjohnsonb,etal.japplphysiol,1993,wasscrmank．dyspneaonexertion[j]。jama，1982，akabeas,et