内科2023年8月第18卷第4期·论著·互动式虚拟情景训练应用于心肌梗死后心衰患者的效果一323韦静黄斯斯斤李春燕黄小晶覃艳罗雪林桦宋静雯余湘宁广西南宁市第一人民医院心血管内科一区,南宁市530016【摘要】目的探讨互动式虚拟情景训练应用于心肌梗死后心衰患者的效果。方法选择80例心肌梗死后心衰患者为研究对象，随机将其分为对照组和观察组，每组40例。对照组进行常规有氧运动,观察组在对照组基础上进行互动式虚拟情景训练，两组均干预8周。比较两组患者干预前后心功能、6分钟步行试验（6MWT)距离、自理能力、睡眠质量。结果干预8周后，观察组患者的左室射血分数、左室舒张末期容积、左心房内径、6MWT距离、Barthel指数均高/长于对照组，舒张早期与末期二尖瓣血流峰值速度比值、匹兹堡睡眠质量指数均低于对照组（均P<0.05）。结论互动式虚拟情景训练能改善心肌梗死后心衰患者的心功能、步行运动能力、自理能力和睡眠质量，值得临床推广应用。【关键词】互动式虚拟情景训练；心肌梗死；心衰；并发症；心功能；步行运动能力；自理能力；睡眠质量【中图分类号】R541.4D0I:10.16121/j.cnki.cn45-1347/r.2023.04.04EffectofinteractivevirtualscenariotraininginpatientswithheartfailureaftermyocardialinfarctionWEIJing,HUANGSisi,LIChunyan,HUANGXiaojing,QINYan,LUOXue,LINHua,SONGJingwen,YUXiangningWard1ofCardiovascularMedicineDepartment,FirstPeople'sHospitalofNanning,Nanning530016,Guangxi,China[Abstract】ObjectiveToexploretheeffectofinteractivevirtualscenariotraininginpatientswithheartfailureaftermyocardialinfarction.MethodsEightypatientswithheartfailureaftermyocardialinfarctionwereselectedasresearchsubjectsandrandomlydividedintoacontrolgrouporanobservationgroup,with40casesineachgroup.Thecontrolgroupunderwentregularaerobicexercise,basedonwhichtheobservationgroupunderwentinteractivevirtualscenariotraining,andbothgroupswereintervenedfor8weeks.Thetwogroupswerecomparedinthecardiacfunction,6minuteswalkingtest(6MWT)distance,self-careability,andsleepqualitybeforeandaftertheintervention.ResultsAfter8weeksofintervention,theleftventricularejectionfraction,leftventricularend-diastolicvolume,leftatrialdiameter,6MWTdistance,andBarthelindexintheobservationgroupwerehigher/lo...
