有氧运动训练对老年冠心病伴慢性心力衰竭患者红细胞参数、血管内皮功能的影响

被引：19

作者：

马庆平 ^{[1
]}

郇赛 ^{[2
]}

顾莹 ^{[1
]}

刘敏 ^{[1
]}

孟莹 ^{[1
]}

机构：

[1] 山东省交通医院康复科

[2] 青岛市妇女儿童医院康复科

来源：

海南医学院学报 | 2017年 / 23卷 / 15期

关键词：

冠心病伴慢性心力衰竭; 有氧运动; 红细胞参数; 血管内皮功能; 心功能;

D O I：

10.13210/j.cnki.jhmu.20170810.014

中图分类号：

R493 [医学康复（康复疗法）]; R541 [心脏疾病];

学科分类号：

100201 [内科学]; 100232 [康复医学];

摘要：

目的:探讨有氧运动训练联合常规药物治疗老年冠心病伴慢性心力衰竭,对患者红细胞参数、血管内皮功能及心功能的影响。方法:110例老年冠心病伴慢性心力衰竭患者依据随机数据表法分为对照组(n=54)和观察组(n=56)。对照组给予常规药物治疗,观察组患者给予常规药物联合有氧运动训练治疗,比较治疗前后两组的红细胞参数、血管内皮功能及心功能指标水平。结果:治疗前,观察组的HCT、RDW、RBC、NO、ET-1、LVEF、LVEDD及LVESD水平与对照组比较,差异无显著性(P>0.05)。治疗后,两组HCT和RBC水平比较,差异无统计学意义(P>0.05);观察组RDW、ET-1、LVEDD及LVESD水平均显著低于组内治疗前,均显著低于对照组治疗后水平,差异比较均有显著性(P<0.05);两组治疗后NO和LVEF水平较组内治疗前均显著升高(P<0.05),且治疗后观察组NO和LVEF水平显著高于对照组,差异有统计学意义(P<0.05)。结论:有氧运动联合常规药物治疗老年冠心病伴慢性心力衰竭效果显著,可有效改善患者血管内皮功能及心功能,提升RDW水平,具有重要的临床价值。

引用

页码：2025 / 2028

页数：4

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