慢性充血性心力衰竭患者生活质量与心功能的关系

    Study of the life quality of patients with congestive heart failure

    • 摘要: 目的: 评价慢性充血性心力衰竭(congestive heart failure,CHF)患者生活质量及其与心功能的关系。方法: 用明尼苏达心力衰竭生活质量调查表(Minnesota living with heart failure questionnaire,LiHFe)对78例CHF患者进行问卷调查,评价生活质量。结果: CHF患者的体力限制、情绪、症状、社会限制、经济限制和LiHFe总分治疗前后差异均有显著性(P<0.01~P<0.001)。随着NYHA心功能分级的提高,LiHFe分值明显增加;LiHFe总分在各分级间差异有显著性(P<0.01);体力限制、情绪、社会限制、症状的分值也随着心功能的升级而增加(P<0.01)。生活质量各项目与左室射血分数无明显关系(P>0.05)。结论: CHF患者的生活质量明显下降,NYHA心功能分级与其相关;心功能愈差,生活质量进一步下降,其与EF无相关性。

       

      Abstract: Objective: To assess the relationship between the life quality and the cardiac function of patients with congestive heart failure.Methods: Seventy-eight patients with congestive heart failure were surveyed by Minnesota Living with Heart failure questionnaire(LiHFe)and their life quality was assessed.Results: The physical limitation,emotional scale and symptom scores of the patients were significantly different before and after treatment(P<0.01),but the social and economic limitation did not change much(P>0.05).With the rise of NYHA classification,the LiHFe score increased significantly(P<0.01) and the LiHFe score was significantly different between different grades(P<0.01).The physical limitation, emotional scale, symptom and social limitation scores increased with the elevation of NYHA classification(P<0.01).There was little association between the LiHFe score and the EF.Conclusions: Patients with congestive heart failure experience pronounce restrictions in quality of life.Cardiac function is related to NYHA classification but has no correlation with EF.

       

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