摘要
目的探讨老年慢性心功能不全患者采用适量抗阻训练的方法对心功能及血清相关指标水平的影响。方法选取我科2017年7月至2019年7月期间130例老年慢性心功能不全患者,按照治疗方法不同进行分组,对照组65例给予常规药物治疗和步行锻炼,观察组65例增加适量抗阻训练,3个月后,对比两组患者心功能指标、运动耐力和血清相关指标水平。结果治疗后两组老年慢性心功能不全患者左心室舒张末期内径(Left Ventricular End Diastolic Diameter,LVEDD)和左心室收缩末期内径(Left Ventricular End Systolic Dimension,LVESD)指标与治疗前相比明显降低,心搏出量(Cardiac Output,CO)和左心室射血分数(Left Ventricular Ejection Fractions,LVEF)指标与治疗前相比明显增加(P<0.05),治疗后观察组心功能改善效果优于对照组(P<0.05)。两组老年慢性心功能不全患者治疗后血清甲状旁腺激素(Parathyroid Hormone,PTH)、醛固酮(Aldosterone,ALD)与治疗前相比明显降低,多巴胺(Dopamine,DA)与治疗前相比明显升高(P<0.05),观察组治疗后改善程度优于对照组(P<0.05)。结论老年慢性心功能不全患者采用适量抗阻训练的方法可有效增强肌肉力量,加速血液循环,改善患者心功能,改善患者PTH、DA、ALD血清相关水平指标。
Objective To investigate the effect of appropriate resistance training on the level of cardiac function and serum-related indicators in elderly patients with chronic cardiac insufficiency.Methods A total of 130 elderly patients with chronic cardiac insufficiency from July 2017 to July 2019 in our department were selected and divided into groups according to different treatment methods.65 cases in the control group were given conventional medication and walking exercises,and 65 cases in the observation group were given an appropriate amount of resistance.After 3 months of training,the levels of cardiac function indexes,exercise endurance and serum-related indexes of the two groups were compared.Results After treatment,the left ventricular end diastolic diameter(Left Ventricular End Diastolic Diameter,LVEDD)and left ventricular end systolic dimension(LVESD)indexes of the two groups of elderly patients with chronic cardiac insufficiency were significantly lower than before treatment.Cardiac Output(CO)and Left Ventricular Ejection Fractions(LVEF)indicators were significantly increased compared to before treatment(P<0.05),and the improvement of cardiac function in the observation group after treatment was better than that of the control group(P<0.05).After treatment,the serum parathyroid hormone(PTH)and aldosterone(ALD)of the two groups of elderly patients with chronic cardiac insufficiency were significantly lower than before treatment.Dopamine(DA)and treatment The former was significantly higher(P<0.05),and the improvement in the observation group after treatment was better than that of the control group(P<0.05).Conclusion The use of appropriate resistance training in elderly patients with chronic heart failure can effectively enhance muscle strength and accelerate blood Circulation,improve the heart function of patients,and improve the serum-related levels of PTH,DA,ALD in patients.
作者
姚芳芳
王莹
YAO Fang-fang(Department of Cardiology,first people's Hospital of Xinxiang,Xinxiang 453000,China)
出处
《牡丹江医学院学报》
2020年第6期55-57,86,共4页
Journal of Mudanjiang Medical University
关键词
抗阻训练
慢性心功能不全
心功能
resistance training
chronic cardiac insufficiency
cardiac function
