[1] WANG Min LEI Ye ZHANG Miao ZHAO Mingjun WANG Chaorong TIAN Yongcang,.Clinical Research of Baduanjin on Cardiac Function Rehabilitation in Patients with Chronic Heart Failure [J]. Modern Traditional Chinese Medicine, 2023, (02): 81-85. [doi: 10.13424/j.cnki.mtcm.2023.02.017]
Clinical Research of Baduanjin on Cardiac Function Rehabilitation in Patients with Chronic Heart Failure
- Article number:
- 1672-0571(2023)02-0081-05
- Keywords:
- Key words:Key words:Chronic heart failure; Baduanjin; Cardiac function; Quality of life; Clinical research
- ZTFLH:
- R259
- Code:
- A
- Abstract:
- Abstract：Objective To observe the effect of conventional medicine combined with traditional Chinese medicine Baduanjin exercise on improving cardiac function in patients with chronic heart failure (CHF).Methods 120 patients with CHF were randomly divided into two groups: the control group (60 cases) was treated with standard drugs;In the treatment group,60 patients,in addition to the standard drug treatment,insisted on the Baduanjin exercise for 30 minutes a day and 6 days a week;The effective rate of cardiac function rating,plasma N-terminal pro-brain natriuretic peptide (NT-proBNP) level,6 min walking test and cardiac function parameters were compared between the treatment group and the control group before and after treatment.Results After treatment,the significant rate and total effective rate of the treatment group were 30.00% and 90.00% respectively,which were significantly higher than that of the control group (23.33% and 75.00%,respectively),and the total effective rate difference was statistically significant (P<0.05);After treatment,NT-proBNP,6 min walking test,cardiac color Doppler parameters and other objective evaluation cardiac function indexes of the two groups were significantly different (P＜0.05）.Conclusion The combination of Baduanjin exercise on the basis of standard drug treatment for patients with chronic heart failure has a certain effect on improving clinical symptoms and objective evaluation indexes of cardiac function.It can improve the quality of life and prognosis of patients,and is worthy of promotion.
References:
[1] 苗鑫蕾,孟文,武琼,等.识别健康相关因素的患病风险——一项来自陕西省第六次卫生服务调查的研究[J].中国卫生统计,2022,39(4):487-493.
[2]刘欣池,杨国红,黄宇贤,等.陕西省成人高血压流行现况分析[J].沈阳医学院学报,2021,23(2):146-148,172.
[3]曹媛,吕玮坤,任耀龙,等.高血压病患者中医体质特点与心血管危险因素分析[J].陕西中医药大学学报,2020,43(1):89-91.
[4]王晓明.重视老年人慢性心力衰竭的临床诊治特点[J].中华老年心脑血管病杂志,2021,23(10):1009-1011.
[5]中国老年医学学会心电及心功能分会,中国医师协会心血管内科分会,中国心衰中心联盟专家委员会.慢性心力衰竭加重患者的综合管理中国专家共识2022[J].中国循环杂志,2022,37(3):215-225.
[6]潘华良,刘艳梅.慢性心力衰竭患者预后影响因素的调查分析[J].中国现代医生,2015,53(9):53-55,59.
[7]沈玉芹,王乐民.慢性心力衰竭与运动康复[J].中华内科杂志,2012,51(9):731-733.
[8]杨明珠,方芳,魏红蕾,等.慢性心力衰竭患者管理的研究现状[J].中华护理杂志,2010,45(8):752-754.
[9]王玉,潘婉.八段锦在老年慢性心力衰竭患者心脏康复中的作用[J].中国老年学杂志,2021,41(19):4260-4263.
[10] 王志燕,陈晨,吕强,等.2021年ESC急慢性心力衰竭诊断与治疗指南解读[J].中华心血管病杂志,2021,49(12):1252-1255.
[11]薛广伟,冯淬灵,姚小芹,等.健身气功八段锦在慢性阻塞性肺疾病稳定期肺康复中的疗效评价[J].北京中医药大学学报,2015,38(2):139-144.
[12]鲍丽颖,汪洋,刘俊荣.健身气功“八段锦”对不同血脂水平中老年人肺活量的影响[J].中国老年学杂志,2013,33(5):1140-1141.
[13]刘素蓉,陈云凤.健身气功八段锦对慢性阻塞性肺疾病稳定期患者6min步行距离改善的临床研究[J].四川医学,2013,34(8):1090-1092.
[14]李锦秀.运动康复治疗对慢性稳定性心力衰竭患者运动耐力、心肺功能及生活质量的影响[J].内科,2019,14(5):557-559,566.
[15]张丽秀,王檀,仕丽,等.八段锦“调宗气”对慢性阻塞性肺疾病患者营养状况及心肺康复评定的影响[J].长春中医药大学学报,2017,33(6):954-956.
[16]方淑玲,姚桐青,方翠霞,等.八段锦对老年心力衰竭伴衰弱患者的生活质量及运动耐量的影响[J].中国康复医学杂志,2022,37(1):108-111.
[17]王素素,李丽凤,张一民.运动干预老年人肌少症近10年研究进展及国际热点可视化分析[J].中国组织工程研究,2022,26(14):2223-2230.
[18]周亚萍,郑宇尘,严广鼎,等.心力衰竭患者交感神经系统活性的评估方法[J].江苏医药,2021,47(12):1273-1277.
[19]吴欣媛,李莉,丁沛然,等.八段锦对62例冠心病合并抑郁状态患者的影响[J].世界中医药,2014,9(1):39-40,43.
[20]张捷,章文雯,沈慧.习练八段锦对广泛性焦虑症临床疗效的影响[J].中国运动医学杂志,2016,35(3):231-233.
[21]王嵘,关风光,鄢行辉.健身气功八段锦对老年冠心病患者的康复疗效[J].长春中医药大学学报,2016,32(4):752-754.
[22]Members AF,McMurray JJV,Adamopoulos S,et al.ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology.Developed in collaboration with the Heart Failure Association (HFA) of the ESC[J].European Heart Journal,2012,33(14):1787-1847.
[23]高玉军,武会志,于海侠,等.心脏康复治疗对慢性心力衰竭患者心肺功能及生活质量的影响[J].中国老年学杂志,2020,40(13):2700-2702.
[24]张广平,谢华宁.从2018中国心衰诊疗指南看更新亮点[J].陕西中医药大学学报,2020,43(1):40-42,61.
[25]禹方,牛巧能.健身气功八段锦在中医健康管理应用中的理论探讨[J].中国中医药现代远程教育,2017,15(22):72-74.
Memo
基金项目：陕西省科技厅社发攻关项目（2015SF-245）；陕西省体育局项目（2022106）；陕西中医药大学第二附属医院学科创新团队建设资助项目（2020XKTD-C01）