摘要
目的探讨心房颤动(AF)伴慢性心力衰竭(CHF)患者射频消融术后行运动康复的效果。方法70例AF伴CHF射频消融术后患者,根据随机数字表法分为观察组及对照组,每组35例。对照组予以常规护理干预,观察组在对照组基础上联合给予运动康复干预。比较两组患者心脏功能、运动耐力、生活质量及健康促进生活方式量表(HPLP)、自我护理能力量表(ESCA)评分。结果干预后,两组左心室收缩末期内径(LVESD)、左房内径(LADD)以及左心室舒张末期内径(LVEDD)均较干预前缩小,且观察组LVESD(34.12±3.26)mm、LADD(30.74±4.23)mm、LVEDD(42.12±4.03)mm均小于对照组的(37.49±4.21)、(36.71±5.02)、(47.19±4.53)mm(P<0.05)。干预后10、20、30 d,观察组患者6 min步行试验(6MWT)分别为(320.21±4.03)、(361.12±5.86)、(409.75±6.57)m,均长于对照组的(304.95±3.11)、(333.05±8.11)、(361.03±7.12)m(P<0.05)。观察组体力、社会、情绪、症状评分均低于对照组(P<0.05)。干预后10、20、30 d,两组HPLP评分较治疗前提升,且观察组干预后10、20、30 d的HPLP评分分别为(121.34±8.74)、(167.91±10.82)、(188.87±9.21)分,高于对照组的(109.13±10.91)、(154.42±12.23)、(167.53±10.13)分(P<0.05)。观察组自我责任感、自我概念、健康知识水平、自我护理技能评分分别为(21.12±0.91)、(29.07±1.97)、(61.72±1.13)、(44.17±2.24)分,均高于对照组的(19.23±0.97)、(27.31±2.14)、(57.84±1.75)、(41.33±2.52)分(P<0.05)。结论运动康复可改善AF伴CHF射频消融术后患者的心脏功能、运动耐力、生活质量、自护能力等,值得推广应用。
Objective To explore the effect of exercise rehabilitation after radiofrequency ablation in patients with atrial fibrillation(AF)and chronic heart failure(CHF).Methods 70 patients with AF and CHF after radiofrequency ablation were divided into observation group and control group according to random number table method,with 35 cases in each group.The control group was given routine nursing intervention,while the observation group was given exercise rehabilitation intervention based on the control group.The cardiac function,exercise endurance,quality of life,health promoting lifestyle profile(HPLP)and exercise of self-care agency scale(ESCA)score were compared between the two groups.Results After intervention,the left ventricular end-systolic diameter(LVESD),left atrial diameter in diastole(LADD)and left ventricular end-diastolic diameter(LVEDD)in both groups were smaller than those before intervention;the observation group had LVESD of(34.12±3.26)mm,LADD of(30.74±4.23)mm and LVEDD of(42.12±4.03)mm,which were smaller than(37.49±4.21),(36.71±5.02)and(47.19±4.53)mm in the control group(P<0.05).At 10,20 and 30 d after intervention,the 6-min walking test(6MWT)of the observation group were(320.21±4.03),(361.12±5.86)and(409.75±6.57)m,which were longer than(304.95±3.11),(333.05±8.11)and(361.03±7.12)m in the control group(P<0.05).The physical,social,emotional and symptom scores of the observation group were lower than those of the control group(P<0.05).At 10,20 and 30 d after intervention,HPLP scores of the two groups were higher than those before treatment;HPLP scores of the observation group were(121.34±8.74),(167.91±10.82)and(188.87±9.21)points,which were higher than(109.13±10.91),(154.42±12.23)and(167.53±10.13)points of the control group(P<0.05).The scores of self-responsibility,self-concept,health knowledge level,and self-care skills were(21.12±0.91),(29.07±1.97),(61.72±1.13),and(44.17±2.24)points in the observation group,which were higher than(19.23±0.97),(27.31±2.14),(57.84±1.75)and(41.33±2.52)points in the control group(P<0.05).Conclusion Exercise rehabilitation can improve the cardiac function,exercise endurance,quality of life and self-care alility of patients with AF and CHF after radiofrequency ablation,and is worth promoting and applying.
作者
胡星星
许锦鸿
HU Xing-xing;XU Jin-hong(Department of Cardiovascular Medicine,Fujian Provincial Hospital,Fuzhou 350000,China)
出处
《中国现代药物应用》
2024年第19期148-151,共4页
Chinese Journal of Modern Drug Application
关键词
心房颤动
慢性心力衰竭
射频消融术
运动康复
Atrial fibrillation
Chronic heart failure
Radiofrequency ablation
Exercise rehabilitation
