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目的:观察慢性充血性心衰的患者临床治疗同时配合综合康复运动的疗效。方法:观察128例慢性充血性心衰的患者按NYHA心功能分级(Ⅲ-Ⅳ级)随机分成康复组和对照组,康复组待患者病情稳定后开始分阶段进行个体化综合康复运动(包括心理疏导及健康教育),对照组仅予以常规抗心衰治疗。结果:所有患者全部康复出院,心功能均达到Ⅱ级,平均住院时间:康复组为12.6天+5.5天,安全性达100%,对照组平均住院时间为17.3天+5.7天;两组患者比较入院时及出院时的心率、血压及心肌耗氧,P<0.05有统计学意义。结论:综合康复运动对慢性充血性心衰的患者可以有显著的生理及心理改善作用,降低心率及氧耗,提高活动耐力,提高其生活质量和促进心功能的恢复。
Objective: To observe the curative effect of clinical rehabilitation combined with rehabilitation in patients with chronic congestive heart failure. Methods: One hundred and twenty-eight patients with chronic congestive heart failure were randomly divided into rehabilitation group and control group according to NYHA functional class (grade Ⅲ-Ⅳ). Patients in rehabilitation group were treated with individualized comprehensive rehabilitation (including psychological Counseling and health education), the control group only routine anti-heart failure treatment. Results: All patients were discharged from hospital and their heart function reached grade Ⅱ. The average length of hospital stay was 12.6 days and 5.5 days in the rehabilitation group, with a safety of 100%. The average length of stay in the control group was 17.3 days and 5.7 days. Heart rate, blood pressure and myocardial oxygen consumption during admission and discharge, P <0.05 were statistically significant. Conclusion: The comprehensive rehabilitation exercise can significantly improve the physiological and psychological conditions of patients with chronic congestive heart failure, reduce heart rate and oxygen consumption, improve activity endurance, improve their quality of life and promote the recovery of cardiac function.