踏车运动联合弹力带抗阻运动对Ⅲ级心力衰竭病人心功能的影响

李红云; 孙晓宇; 唐苗苗; 赵园园; 沈剑

doi:10.13898/j.cnki.issn.1000-2200.2021.12.011

踏车运动联合弹力带抗阻运动对Ⅲ级心力衰竭病人心功能的影响

Effect of the treadmill exercise combined with elastic band impedance exercise on the cardiac function in patients with grade Ⅲ heart failure

摘要

摘要:
目的探究踏车运动联合弹力带抗阻运动对Ⅲ级心力衰竭病人心功能的影响。
方法选取2018-2019年诊治的Ⅲ级心力衰竭病人80例。按随机数表法分2组，各40例。对照组用常规药物纠正心力衰竭，观察组在常规治疗心力衰竭药物基础上，联合踏车运动及弹力带抗阻运动对心力衰竭进行治疗。观察2组病人在上述治疗前及治疗1个月后的6 min步行距离、心脏超声射血分数（EF）及氨基端前B型钠尿肽（NT-proBNP）水平情况，以此评价心功能水平。
结果干预后，2组6 min步行距离均较干预前上升（P < 0.01），并且观察组上升幅度高于对照组（P < 0.05）。干预后，2组心脏超声EF值均上升，NT-proBNP水平均下降（P < 0.05）；且观察组心脏超声EF值上升幅度及NT-proBNP水平下降幅度均大于对照组（P < 0.05和P < 0.01）。
结论踏车运动联合弹力带抗阻训练可以明显改善心力衰竭病人心功能，提高心肌的收缩能力，提高运动耐力。

Abstract:
ObjectiveTo explore the effects of the treadmill exercise combined with elastic band impedance exercise on the cardiac function in patients with grade Ⅲ heart failure.
MethodsA total of 80 patients with grade Ⅲ heart failure from 2018 to 2019 were divided into the control group and observation group according to the random number table method(40 cases in each group).The heart failure in control group was treated with the routine drugs, and the observation group was treated with the treadmill exercise combined with and elastic band impedence exercise on the basis of routine treatment drugs.The 6-min walking distance, cardiac ultrasonic ejection fraction(EF) and n-terminal pro-B-type natriuretic peptide(NT-proBNP) levels in two groups before and after 1 month of treatment were observed to evaluate the levels of cardiac function.
ResultsAfter intervention, the 6-min walking distance in two groups increased compared with that before intervention(P < 0.01), and the increasing degree of which in observation group was higher than that in control group(P < 0.05).After intervention, the cardiac ultrasound EF value and NT-proBNP levels in two groups increased and decreased, respectively(P < 0.05), and the increasing degree of EF value and decreasing degree of NT-proBNP levels in observation group were greater than those in control group(P < 0.05 and P < 0.01).
ConclusionsThe treadmill exercise combined with elastic band impedence exercise can significantly improve the cardiac function, myocardial contractility and exercise endurance in patients with heart failure.

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