实用老年医学

实用老年医学 ›› 2025, Vol. 39 ›› Issue (12): 1223-1227.doi: 10.3969/j.issn.1003-9198.2025.12.007

• 临床研究 • 上一篇    下一篇

穿戴式心肺康复支持系统在老年慢性心力衰竭病人运动康复治疗中的研究

邬倩, 李树斌, 殷亚宁, 张士琦, 李红, 孙于欣, 格日乐其其格, 李卫红, 贺慧, 杨云纬, 蒋德涓, 白晓敏, 邬真力   

  1. 010020 内蒙古自治区呼和浩特市,内蒙古自治区人民医院内蒙古医学科学院(邬倩);老年医学中心(李树斌,邬真力);心血管外科重症监护室(殷亚宁);
    014040 内蒙古自治区包头市,内蒙古科技大学包头医学院(张士琦,格日乐其其格,李卫红,蒋德涓,白晓敏);
    010050 内蒙古自治区呼和浩特市,内蒙古医科大学临床学院(李红,孙于欣,贺慧, 杨云纬)
  • 收稿日期:2025-04-24 发布日期:2025-12-26
  • 通讯作者: 邬真力,Email:15391164806@163.com
  • 基金资助:
    内蒙古自治区2022年度科技计划项目(2022YFSH0101);内蒙古自治区2023年度科技计划项目(2023YFSH0006)

Study on a wearable cardiopulmonary rehabilitation support system for exercise rehabilitation in elderly patients with chronic heart failure

WU Qian, LI Shubin, YIN Yaning, ZHANG Shiqi, LI Hong, SUN Yuxin, Gerile Qiqige, LI Weihong, HE Hui, YANG Yunwei, JIANG Dejuan, BAI Xiaomin, WU Zhenli   

  1. Inner Mongolia Academy of Medical Sciences(WU Qian);
    Geriatric Medicine Center(LI Shubin, WU Zhenli);
    Cardiovascular Surgery Intensive Care Unit(YIN Yaning), Inner Mongolia People’s Hospital, Hohhot 010020, China;
    Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou 014040, China(ZHANG Shiqi, Gerile Qiqige, LI Weihong, JIANG Dejuan, BAI Xiaomin);
    Clinical College, Inner Mongolia Medical University, Hohhot 010050, China(LI Hong, SUN Yuxin, HE Hui, YANG Yunwei)
  • Received:2025-04-24 Published:2025-12-26
  • Contact: WU Zhenli,Email:15391164806@163.com

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摘要： 目的 探讨穿戴式心肺康复支持系统在老年CHF病人运动康复治疗中的作用,为探索基于可穿戴设备的心肺康复监测和疾病管理新模式提供临床数据。 方法 选取2023—2024年在内蒙古自治区人民医院住院的老年CHF病人,将其随机分为单纯药物组(M组)、药物联合运动组(ME组)、药物联合穿戴式设备指导运动组(MED组),分析比较各组干预3个月前后心肺运动试验(CPET)指标、LVEF、左室舒张末期内径(LVEDD)、N-末端脑钠肽前体(NT-proBNP)、6 min步行距离(6MWD)及明尼苏达心力衰竭生活质量问卷表(MLHFQ)评分变化,评价可穿戴心肺康复支持系统应用于老年CHF病人心肺康复训练的干预效果。 结果 干预后,ME组及MED组峰值摄氧量(PeakVO2)、无氧阈摄氧量(VO2AT)、无氧阈代谢当量(MetsAT)、LVEF、6MWD、NT-proBNP、MLHFQ评分均显著优于M组(P＜0.05);相较于ME组,MED组VO2AT、MetsAT、LVEF和6MWD增加,NT-proBNP降低,改善幅度进一步提升(P＜0.05)。 结论 可穿戴式心肺康复支持系统对老年CHF病人运动康复治疗效果及预后有积极的影响。

关键词: 老年人, 慢性心力衰竭, 运动康复, 穿戴式设备, 干预效果

Abstract: Objective To investigate the effect of wearable cardiopulmonary rehabilitation support system in exercise rehabilitation for the elderly patients with chronic heart failure, and to provide clinical evidences for developing a new model of cardiopulmonary rehabilitation monitoring and disease management based on wearable technology. Methods The elderly patients with chronic heart failure admitted to Inner Mongolia People’s Hospital from 2023 to 2024 were randomly assigned to the drug group(group M), the drug combined with exercise group(group ME), and the drug combined with wearable devices guided exercise group (group MED). The cardiopulmonary exercise test (CPET) indicators, left ventricular ejection fraction (LVEF), left ventricular end-diastolic diameter (LVEDD), N-terminal pro-brain natriuretic peptide (NT-proBNP), 6-minute walk distance (6MWD), and Minnesota Heart Failure Quality of Life Questionnaire (MLHFQ) scores were recorded before and 3 months after intervention and compared among the groups. Results After the intervention,the levels of peak oxygen uptake (PeakVO2), anaerobic threshold oxygen uptake (VO2AT), anaerobic threshold metabolic equivalent (MetsAT), LVEF, 6MWD, NT-proBNP and MLHFQ scores in group ME and group MED were more significantly improved than those in group M(P<0.05);Compared with group ME, the levels of VO2AT, MetsAT, LVEF and 6MWD were significantly increased, and the level of NT-proBNP was significantly decreased in group MED (P<0.05). Conclusions The application of wearable cardiopulmonary rehabilitation support system in exercise rehabilitation for elderly patients with chronic heart failure has a positive effect on their treatment effect and prognosis.

Key words: aged, chronic heart failure, sports rehabilitation, wearable device, intervention effect

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