目的: 探讨6周康复运动治疗老年慢性心力衰竭(心衰)患者的有效性和安全性。方法: 44例老年慢性心力衰竭(心功能NYHAⅡ-Ⅲ)患者随机分为两组, 康复组在实施临床医疗措施并同时进行6周康复运动; 对照组仅实施临床医疗措施。比较治疗前后及不同两组治疗后的六分钟步行实验距离, 完成运动平板所需要的时间和代谢当量, 明尼苏达心力衰竭生活质量调查表积分, 血浆脑钠肽含量以及左室射血分数。结果: 经过6周康复运动治疗后康复组心功能分级、六分钟步行实验距离、运动平板时间和运动平板的最大代谢当量(METS)较对照组改善更明显(P＜0.05)。结论: 6周康复运动治疗显著提高老年慢性心力衰竭患者的运动耐量和生活质量。6周康复运动治疗老年慢性心力衰竭(心衰)患者是有效的和安全的。

Objective: To evaluate effect of rehabilitating exercise in patients with chronic heart failure (CHF) and its clinical implementation and significance.Methods: Twenty-two in-patients with CHF were received six-weeks rehabilitating exercise as well as regular treatments. The control group was other twenty-two in-patients with CHF. They were measured the sore of life questionnaire of Minnesota in heart failure subjects, the distance of six-minutes walk text, finished time and METS of exercise testing, BNP and LVEF. Results: No statistically significant difference were found between two groups before treatment.We found a statistically significant difference between two groups in the Score of life questionnaire of Minnesota in heart failure subjects, the distance of six-minutes walk text, finished time and METS of exercise testing after 6 weeks’ treatments. Conclusion: Carring through rehabilitating exercise on medicinal basis is benefiecial and safe for the patients with chronic heart failure (CHF).