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目的对伴有心脏功能不全的脑梗死患者进行心脏功能及运动功能康复训练,观察能否改善患者的心脏功能进而提高其运动功能康复疗效以及探讨该疗法的可行性。方法将81例伴有心脏功能不全的脑梗死患者随机分为治疗组(41例)和对照组(40例)。2组患者均给予常规药物治疗,治疗组同时给予心脏功能及运动功能康复训练,对照组患者只给予运动功能康复训练,疗程均为8周。观察2组患者治疗前、后纽约心脏病协会(NYHA)心脏功能分级以及各项心脏功能相关指标、运动功能和日常生活活动能力评分等变化情况。结果治疗组患者治疗后心功能NYHA分级、左心室射血分数(LVEF)、血浆B型脑利钠利尿肽(BNP)水平、6min步行距离以及运动功能和日常生活活动能力评分等均明显优于对照组(P<0.05)。结论对伴有心功能不全的脑梗死患者同时进行心脏功能及运动功能康复训练,不但能提高其心脏功能,还能进一步提高运动功能康复疗效,并且具有安全性高、可行性强等优点。
Objective To investigate the cardiac function and motor function rehabilitation training in patients with cerebral infarction complicated with cardiac insufficiency and to observe whether it can improve the cardiac function of patients and then improve the rehabilitation of motor function and explore the feasibility of the therapy. Methods Eighty-one patients with cerebral infarction complicated with cardiac insufficiency were randomly divided into treatment group (41 cases) and control group (40 cases). The patients in both groups were given conventional drug therapy. The treatment group was given both cardiac function and motor function rehabilitation training. The control group only received exercise function rehabilitation training, both of which were for 8 weeks. The changes of cardiac function, heart function related indexes, motor function and activities of daily living in New York Heart Association (NYHA) before and after treatment were observed in two groups. Results After treatment, NYHA classification, left ventricular ejection fraction (LVEF), plasma BNP level, walking distance at 6 minutes, scores of motor function and activities of daily living in the treatment group were significantly better than those of the control group Control group (P <0.05). Conclusions Simultaneous rehabilitation of heart function and motor function in patients with cerebral infarction complicated with cardiac insufficiency can not only improve cardiac function, but also improve the rehabilitation effect of motor function. And it has the advantages of high safety and feasibility.