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慢性心力衰竭(CHF)的基本处理是卧床休息尤其对重症CHF曾禁止浴洗。而本文作者采用温水浴扩血管能显著减轻心脏的前后负荷,改善心脏的血液动力学。方法:CHF患者22例(男性16例),其中特发性扩张型心肌病13例,缺血性心肌病5例,返流性瓣膜病4例,平均年龄54岁。入院时自觉症状为心功能(NYHA)Ⅱ级5例,Ⅲ级10例,Ⅳ级7例。其中17例在外院接受休息及药物治疗临床症状无改善。首先研究了温水浴与桑拿浴的浴前,浴中、浴后的血液动力学急性变化,之后实行每日2次温热疗法(温水浴及桑拿浴各1次),对比1个月后的临床症状变化。温水浴在半卧位浴槽41摄氏度温水中浴洗10～12min,桑拿浴在特殊的远红外线桑拿浴室,采用背卧位头在外面的方法,在70～80摄氏度浴15min。在温水浴,桑拿浴之前中后测定血压,心电图、超声心
The basic treatment of chronic heart failure (CHF) is bed rest, especially for severe CHF bath was banned. The author of this article using warm water vasodilator can significantly reduce the heart before and after the load, improve the heart’s hemodynamics. Methods: Twenty-two CHF patients (16 males), including 13 idiopathic dilated cardiomyopathy, 5 ischemic cardiomyopathy and 4 recurrent valvular disease with an average age of 54 years. Symptoms on admission were cardiac function (NYHA) Ⅱ grade in 5 cases, Ⅲ grade in 10 cases, Ⅳ grade in 7 cases. Among them, 17 patients underwent rest and medical treatment without improvement in clinical symptoms. First, we studied the acute hemodynamic changes before, during and after bathing in warm water bath and sauna, followed by twice daily thermotherapy (warm bath and sauna 1 time), compared with 1 month Clinical symptoms change. Warm water bath in the semi-supine bath 41 degrees Celsius warm water bath wash 10 ~ 12min, sauna in a special far-infrared sauna, the method of using the supine head in the bath at 70 ~ 80 degrees Celsius 15min. In warm water bath, sauna before and after determination of blood pressure, electrocardiogram, echocardiography