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目的探讨心脏康复训练对扩张型心悸病患者的干预效果。方法将2010年3月-2012年3月于我科住院的60例扩张型心肌病患者随机分为对照组和试验组各30例,对照组采用常规药物治疗,试验组在对照组治疗基础上加以心脏康复训练。治疗6个月后比较两组患者心脏射血分数的变化、6min步行距离及6个月内再入院次数等参数,以此判定心脏康复训练对患者的干预情况。结果治疗结束6个月后两组患者心功能分级、心脏射血分数、6min步行距离、心胸比例等参数均较治疗前有所好转(P<0.05),但试验组各指标改善情况较对照组更为明显,且差异有统计学意义(P<0.05);6个月内再入院患者数试验组(7例)较对照组(21例)明显减少,且差异有统计学意义(P<0.05)。结论心脏康复训练对扩张型心肌病患者的康复有着积极意义,可明显改善患者的生活质量。
Objective To investigate the effect of cardiac rehabilitation training on patients with dilated palpitation. Methods Sixty patients with dilated cardiomyopathy who were hospitalized in our department from March 2010 to March 2012 were randomly divided into control group and experimental group with 30 patients in each group. The control group was treated with conventional drugs. On the basis of the treatment of the control group, Heart rehabilitation training. After 6 months of treatment, changes of cardiac ejection fraction, distance of 6min walking and rehospitalization within 6 months were compared between the two groups in order to determine the intervention of cardiac rehabilitation training. Results Six months after the end of treatment, the cardiac function classification, cardiac ejection fraction, 6-minute walking distance, cardiothoracic ratio and other parameters improved compared with those before treatment (P <0.05), but the improvement of each index in the experimental group was better than that in the control group (P <0.05). The number of rehospitalization in 6 months was significantly lower in experimental group (n = 7) than in control group (n = 21), and the difference was statistically significant (P <0.05) ). Conclusion Cardiac rehabilitation training has positive significance for the rehabilitation of patients with dilated cardiomyopathy and can significantly improve the quality of life of patients.