Objective:To investigate the effect of aerobic exercise and its combined cognitive behavior therapy on cognitive impairment in patients with chronic heart failure.Methods:The Montreal Serious Assessment Scale (MoCA) was used to evaluate CHF patients hospitalized in Rongjun Hospital of Jiangsu Province and community rehabilitation in Shanbei Street of Wuxi City from 2017 to 2018. 90 patients with cognitive impairment were selected and 90 patients were treated with conventional clinical anti heart failure according to their need to improve their heart, diuresis and vasodilator, and randomly divided into the aerobic exercise intervention group. Aerobic exercise combined with CBT intervention group and control group, 30 cases in each group. MoCA, Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) were used to evaluate and compare the scores of the threegroups before and after 3 months of aerobic exercise intervention and the combined CBT intervention, and the changes of left ventricular ejection fraction(LVEF) in the 3 groups were compared.Results:Before intervention, MoCA score, HAMA score, HAMD score and LVEF were compared between the aerobic exercise intervention group and the control group, the aerobic exercise combined with CBT intervention group and the control group, the aerobic exercise intervention group and the aerobic exercise combined CBT intervention group. There was no statistical difference (P>0.05). After intervention, MoCA score, HAMA score, HAMD score and LVEF score in the aerobic exercise intervention group and the aerobic exercise combined with CBT intervention group were better than those in the control group (P<0.05). The MoCA score and HAMA score in the aerobic exercise combined with CBT intervention group were significantly higher than those in the control group (P<0.05). HAMD score was better than that in the aerobic exercise intervention group (P<0.05). Conclusion:Aerobic exercise can significantly improve the cognitive impairment of CHF patients.When combined with CBT, it can further promote the recovery of cognitive function and improve the quality of life of the patients.
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