| Purpose: Observation （coronary heart disease） in patients with heart failure based onconventional treatment with exercise before and after treatment of rehabilitation trainingplasma BNP and aldosterone change, with simple and routine therapy （coronary heartdisease） in patients with HF comparison, explore rehabilitation therapy movement to（coronary heart disease） the curative effect of heart failure mechanism.Methods:1,72patients were selected randomly divided into the treatment group andcontrol group, patients given conventional therapy, and control of blood pressure, blood sugarand blood fat, etc, the treatment group patients based on routine therapy and rehabilitationtraining with the movement, treatment21days.2, observe the two groups of patients beforeand after treatment NYHA grading improve cardiac function.3, the enzyme league twogroups were immune method to detect the plasma BNP before and after treatment andaldosterone content changes.Results:1, After three weeks, the treatment group and control group of patients NYHAimprove cardiac function classification comparison, the treatment group total effectiveness83.3%patients, the control group total effectiveness75.0%, after statistics processing, withsignificant difference （P <0.05）,the overall effect of the treatment group was better thancontrol.2, Chronic heart failure patients plasma BNP and aldosterone levels increasedsignificantly, with the NYHA classification of the increased, the plasma BNP patients andaldosterone level subsequently heighten, after statistics processing has significant difference（P <0.01）.3, Two groups of patients after therapy, plasma BNP and aldosterone level andtreatment decreased than before and the results are different than before treatment, afterstatistics processing P <0.05; But the exercise group than the control group down moreapparent, after statistics processing P <0.01.Conclusion:1, Based on routine therapy with exercise rehabilitation training canimprove cardiac function in patients with heart failure （coronary heart disease）, better thansimple routine treatment.2, Chronic （coronary heart disease） heart failure patients plasmaBNP and aldosterone levels were higher, and as NYHA classification of the increased, theplasma BNP patients and aldosterone level subsequently heighten, explain heart failure patients plasma BNP and aldosterone level are positively correlated with NYHA cardiacfunction, plasma BNP and aldosterone level can reflect the cardiac function in patients withHF.3,（Coronary heart disease） heart failure patients before treatment BNP and plasmaaldosterone level is higher, after treatment dropped significantly, the exercise group a controlgroup down significantly, rehabilitation therapy for chronic that movement heart failurepatients neuroendocrine system produced significant influence: sports rehabilitation trainingcan reduce heart failure patients plasma neural hormone （BNP and aldosterone） level. Andmovement in effect is probably the rehabilitation therapy by this mechanism to realize.4, in conventionaltreatments with exercise based on rehabilitation therapy for chronic heart failure of effectiveand simple and feasible, safe, inexpensive, is worth further promotion. |
