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目的探讨心踝血管指数在老年慢性心力衰竭患者运动康复效果评价中的应用价值。方法选取2014年5月-2015年10月我院住院治疗的老年慢性心力衰竭患者49例,行去除诱因、强心、利尿和扩血管等基础治疗,并根据病情调整药物剂量,在进行常规护理基础上,根据心功能分级实施运动康复护理,比较治疗前后的患者心踝血管指数、心率、射血分数和步行距离(6min),采用明尼苏达生活质量问卷进行生活质量评价。结果 49例患者治疗护理后的心踝血管指数、心率、射血分数、步行距离(6min)及生活质量评分平均值与治疗护理前比较差异有统计学意义(P<0.05)。结论运动康复治疗后患者左室射血分数(LVEF)与步行距离(6min)、心踝血管指数与明尼苏达生活质量评分之间变化的一致性证明心踝血管指数可以通过抗心衰治疗及运动康复训练而得以下降,故可将其作为心力衰竭治疗及运动康复评价效果的参考指标之一。
Objective To investigate the value of ankle-brachiar vascular index in the evaluation of exercise rehabilitation in elderly patients with chronic heart failure. Methods From May 2014 to October 2015, 49 cases of elderly patients with chronic heart failure admitted to our hospital were treated with basic therapy such as removal of inducement, cardiac, diuretic and vasodilator, and adjusted their dose according to their condition. After routine nursing On the basis of this, exercise rehabilitation nursing was performed according to the classification of heart function. The ankle vascular index, heart rate, ejection fraction and walking distance (6 min) before and after treatment were compared. The Minnesota Quality of Life Questionnaire was used to evaluate the quality of life. Results The mean value of heart-ankle vascular index, heart rate, ejection fraction, walking distance (6min) and quality of life score of 49 patients after treatment were significantly different from those before treatment and nursing (P <0.05). Conclusions The consistency of LVEF, walking distance (6 min), ANOVA and Minnesota quality of life score after exercise rehabilitation proved that the ABR can be treated by anti-heart failure and exercise rehabilitation Training and to decline, it can be used as a reference for evaluation of heart failure treatment and sports rehabilitation indicators.