| 吴 琪,季梅丽,张 蓉,王丹蕾,夏佩佩.缩唇腹式呼吸训练联合弹力带抗阻运动对慢性心力衰竭患者运动耐力、心肺功能及生活质量的影响[J].,2023,(7):1279-1282 |
| 缩唇腹式呼吸训练联合弹力带抗阻运动对慢性心力衰竭患者运动耐力、心肺功能及生活质量的影响 |
| Effects of Lip Contraction and Abdomen Breathing Training Combined with Elastic Band Resistance Exercise on Exercise Endurance, Cardiopulmonary Function and Quality of Life in Patients with Chronic Heart Failure |
| 投稿时间：2022-10-18 修订日期：2022-11-13 |
| DOI：10.13241/j.cnki.pmb.2023.07.015 |
| 中文关键词: 慢性心力衰竭 弹力带抗阻运动 缩唇腹式呼吸训练 心肺功能 生活质量 运动耐力 |
| 英文关键词: Chronic heart failure Elastic band resistance exercise Lip contraction and abdomen breathing training Cardiopulmonary function Quality of life Exercise endurance |
| 基金项目:江苏省干部保健科研课题（BJ18002） |
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| 中文摘要: |
| 摘要 目的：观察缩唇腹式呼吸训练对联合弹力带抗阻运动对慢性心力衰竭（CHF）患者运动耐力、心肺功能及生活质量的影响。方法：选取2020年4月~2021年7月期间我院收治的CHF患者83例。按照双色球法将患者分为对照组（n=41）和观察组（n=42），对照组接受弹力带抗阻运动，观察组接受缩唇腹式呼吸训练联合弹力带抗阻运动。观察两组运动耐力、心肺功能、生活质量及1年内再住院率和1年内死亡率情况。结果：两组干预4周后躯体领域评分、情绪领域评分、其他领域评分和总分均下降，且观察组低于对照组（P<0.05）。两组干预4周后用力肺活量（FVC）、第1秒用力呼气容积（FEV1）、最大自主分钟通气量（MVV）、左室射血分数（LVEF）升高，且观察组高于对照组（P<0.05），而左室舒张末期内径（LVEDD）、左室收缩末期内径（LVESD）下降，且观察组低于对照组（P<0.05）。两组干预4周后6 min步行距离试验（6MWT）、峰值摄氧量（VO2peak ）及无氧阈值（AT）升高，且观察组高于对照组（P<0.05）。观察组的1年内再住院率、1年内死亡率均低于对照组（P<0.05）。结论：弹力带抗阻运动联合缩唇腹式呼吸训练可促进CHF患者心肺功能改善，提高运动耐力，促进生活质量提升，同时还可降低1年内再住院率、1年内死亡率，疗效较好。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the effect of lip contraction and abdomen breathing training combined with elastic band resistance exercise on exercise endurance, cardiopulmonary function and quality of life in patients with chronic heart failure (CHF). Methods: 83 patients with CHF who were admitted to our hospital from April 2020 to July 2021 were selected. The patients were divided into control group (n=41) and observation group (n=42) according to the two-color ball method. The control group received elastic band resistance exercise, and the observation group received lip contraction and abdominal breathing training combined with elastic band resistance exercise. The exercise endurance, cardiopulmonary function, quality of life, rehospitalization rate within one year and mortality rate within one year in the two groups were observed. Results: 4 weeks after intervention, the somatic domain score, emotional domain score, other domain score and total score of the two groups were decreased, observation group was lower than control group(P<0.05). 4 weeks after intervention, forced vital capacity (FVC), forced expiratory volume in one second(FEV1), maximum voluntary minute ventilation (MVV) and left ventricular ejection fraction(LVEF) were increased in the two groups, and the observation group was higher than the control group (P<0.05), while left ventricular end-diastolic diameter(LVEDD) and left ventricular end-systolic diameter(LVESD) were decreased, and the observation group was lower than the control group(P<0.05). 4 weeks after intervention, the 6min walking distance test (6MWT), peak oxygen uptake (VO2peak ) and anaerobic threshold (AT) of the two groups were increased, and observation group was higher than control group(P<0.05). The rehospitalization rate within one year and mortality rate within one year in the observation group were lower than those in the control group(P<0.05). Conclusion: Elastic band resistance exercise combined with lip contraction and abdomen breathing training can promote the improvement of cardiopulmonary function in patients with CHF, improve exercise endurance, promote quality of life, and reduce the rehospitalization rate within one year and mortality rate within one year, with good curative effect. |
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