摘要
目的探讨徒步行走训练对慢性心力衰竭(chronic heart failure,CHF)患者运动耐量的影响。方法将81例CHF患者随机分为实验组和对照组。两组在常规抗心力衰竭药物治疗和护理的基础上,实验组增加徒步行走训练与指导,并于训练后第4w、8w、12w、16w、20w、24w分别测量两组患者6min步行试验(6MWT)的距离。结果两组患者于上述6个时间段6MWT的距离分别为,实验组:268.72±57.55m、313.54±51.39m、340.87±52.41m、355.36±47.01m、385.42±45.84m、404.50±38.05m;对照组:264.87±60.31m、298.56±60.28m、324.75±56.29m、338.59±60.80m、349.03±57.25m、378.96±49.41m。训练后20w、24w两组患者6MWT的距离比较,均P<0.05,差异有统计学意义;而训练前和训练后4w~16w两组患者6MWT的距离比较,均P>0.05,差异无统计学意义。结论持之以恒、规律性的徒步行走训练能提高CHF患者的运动耐量。
Objective To study the effect of exercise of walking on foot on exercise tolerance in chronic heart failure (CHF) patients. Methods 81 CHF patients were randomly divided into two groups: training group(n=39),undergoing training of walking on foot under a nurse's supervision and control group(n=41) only receiving routine treatment with anti-cairdia failure drugs and routine nursing. The distances all the CHF patients walked on foot within 6 minutes at week 4, 8, 12, 16, 20 and 24 were measured. Results The distances measured at the six time points were 268.72 ± 57.55 m, 313.54 ± 51.39 m, 340.87 ± 52.41 m, 355.36 ± 47.01 m, 385.42 ± 45.84 m, 404.50 ± 38.05 m in the training group, and 264.87 ± 60.31 m, 298.56 ± 60.28 m, 324.75 ± 56.29 m, 338.59 ± 60.80 m, 349.03 ± 57.25 m, and 378.96± 49.41 m in the control group, respectively. There were significant differences at week 20 and week 24 after taking exercises (P 〈 0.05), but insignificant from weeks 4 to 16 (P 〉 0.05). Conclusion A persistent exercise of walking on foot may improve the exercise tolerance in chronic heart failure patients.
出处
《现代临床护理》
2008年第4期1-3,共3页
Modern Clinical Nursing
基金
广东省卫生厅医学科研基金资助课题
项目编号A2005184
关键词
慢性心力衰竭
运动疗法
步行
chronic cardiac failure
exercise therapy
walking