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Rehabilitation Exercise In Patients With Chronic Heart Failure Clinical Curative Effect Observation And The Influence Of The Quality Of Life

Posted on:2018-07-22Degree:MasterType:Thesis
Country:ChinaCandidate:S S ChenFull Text:PDF
GTID:2334330515499704Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
ObjectiveThrough the adoption of rehabilitation exercise routine drug treatment of chronic heart failure,Observe the change of the patient's clinical curative effect and quality of life,Preliminary explore the clinical significance of the rehabilitation exercise on heart failure.MethodsIncluded in the standard of 40 patients with chronic heart failure(heart function class II-level III),were randomly divided into treatment group(20 cases)and control group(20 cases),Routine western medicine treatment was prescribed in control group,Application of rehabilitation exercise on the basis of western medicine was prescribed in treatment group.The treatment courses were 3 months.The changes of TMC syndrome scores,NYHA class,Minnesota quality of life,left ventricular ejection fraction,6 minute walk distance,BNP after treatment were observed in both groups.Results1.TMC syndrome scores: of two groups of patients after treatment,significant decrease of TMC syndrome scores and were statistically significant differences(p<0.01).And the treatment group was lower in TCM symptom integral more apparent,with statistical significance(P < 0.05).2.Cardiac Functional Grading: Two groups of patients after treatment,heart function before the treatment were improved(P < 0.05),treatment group cardiac function effect of the total effective rate was 85%,control group total effective rate was 65%,the treatment group is better than that of control group,the comparison between the two groups was statistically significant(P < 0.05).3.Minnesota heart failure quality of life scale score: quality of life of two group patients after treatment were significantly improved and both of their quality of life score decreased significantly(P<0.01).And the quality of life score was lower in treatment group is more obvious,with statistical significance(P < 0.05).4.Left ventricular ejection fraction(LVEF): Two groups after treatment,patients with left ventricular ejection fraction were improved,compared with before treatment were significantly different(P < 0.05),but after treatment the treatment group compared with control group,there was no statistically significant difference(P > 0.05),shows that rehabilitation exercise to improve left ventricular ejection fraction did not see obvious advantages.5.six minutes walking distance: the distance between the two groups after treatment was significantly increased(P<0.05),and the distance of the treatment group was significantly higher than that of the control group with significant difference(P<0.01)6.plasma BNP: the plasma BNP levels in the two groups after treatment were lower than those before treatment(P<0.05),and the plasma BNP level in the treatment group was significantly lower than that in the control group(P<0.05).Conclusion:1.Rehabilitation exercise can effectively improve patient's heart function,reduce TCM syndrome score,quality of life score and plasma BNP level,increase the walking distance of 6 minutes,improve the quality of life of patients.2.Rehabilitation exercise on chronic heart failure in patients with left ventricular ejection fraction improvement is not obvious.
Keywords/Search Tags:Chronic Heart Failure, Rehabilitation exercise, Baduanjin
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