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

doi:10.3969/j.issn.1003-9198.2025.12.007

Abstract

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

CLC Number:

R 541.6

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. Study on a wearable cardiopulmonary rehabilitation support system for exercise rehabilitation in elderly patients with chronic heart failure[J]. Practical Geriatrics, 2025, 39(12): 1223-1227.

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

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