基于改良老年综合评估的抗阻训练干预老年慢性心力衰竭合并肌少症病人的效果

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Effect of resistance training based on modified comprehensive geriatric assessment of el

patients with chronic heart failure and sarcopenia

ZHANG Cuilian，XU Wang，LIAO Hongying，LUO Juan，MA Yuanyuan， WU Chunxiang

Ganzhou People's Hospital（Southern Hospital Ganzhou Hospital）， Jiangxi 341ooo China

Corresponding Author ZHANG Cuilian，E-mail： zhangcl12101@163.com

AbstractObjective：Toexploretheefectofresistancetrainingbsedonmodifiedcomprehensivegeratricassessment（CGofelderly patientswithchronic heartfailureandsarcopenia.Methods：Atotalof8Oelderlypatientswithchronicheartfailureandsarcopenia admited toGanzhouPeople'sHospitalfromJuly2O23toJuly2O24 wereselectedastheresearchsubjects.Theywererandcomlydivided intocontrolgroupandtestgroupbyrandomnumbertablemethod，with4Ocaseseach.Thecontrolgroupreceivedroutineintervention， whilethetestgroupreceivedresistancetraininginterventionbasedonmodifiedcomprehensivegeriatricaessment.Physicalactivity status，erisedraeualitoflifediacfuioiato，eletaluslefuciatediatodutrialat wereomparedetweentwogroups.Results：After8weeksofintervention，theSmpifiedPhysicalFinessScale（SPPB）scores，-ute walk test（6MWT），and Activitiesof DailyLiving（ADL）scoresinthetest group were higherthanthoseinthecontrol group.The Minesota Heart Failure Quality of Life Scale（MLHFQ） scores Was lower than that in the control groupl （P<0.05） .Theleftventricular ejectionfractionLVEF）andtheatioofpeaketopeakaofforwardmitralflow（E/A）werehigherthanthoseinthecontrolgroup.Theleft ventricular end diastolic diameter（LVEDD） was shorter than that in the control group（ ΔP<0.05 ）.The skeletal muscle mass index，walking speed，grip strength，and the duration of 5 sit up tests were better than those in the control group（ ..<0.05 ）.Thebody mass index（BMI）， upperarmmusclecircumference（AMC），lowerlegcircumference，ndtricepssinfoldthicknessTSF）werebeterthanthosenthe control group ΔP<0.05Δ .Conclusions：Resistance training based on modified comprehensive geriatric assessment could improve the physicalconditionandexerciseeduranceofelderlypatientswithcroniceartfailurendsarcopena，hanceteirqualityoflifeand cardiac function，and improve skeletal muscle function and nutritional status.

Keywordselderlypeople;sarcopenia;chonichartfilure;modifiedcomprehensivegeriatricaessment;esistancetrainng;qalityof life; sports endurance; nursing

慢性心力衰竭（chronicheartfailure，CHF）作为临床常见的心血管疾病，其是在冠心病、心脏瓣膜病等心脏疾病基础上，心泵血功能持续降低引起的，会引发呼吸困难、乏力等症状，影响病人日常生活1]。（剩余6105字）