八段锦联合有氧耐力训练对老年稳定性冠心病合并慢性心力衰竭患者的应用效果分析  

Analysis of the effect of Baduanjin combined with aerobic endurance training on elderly patients with stable coronary heart disease complicated with chronic heart failure

作　　者：康正林 刘承瑞 王越[1] 陶厚娣 Kang Zhenglin;Liu Chengrui;Wang Yue;Tao Houdi(the Second Department of Heart Disease,Lu'an Traditional Chinese Medicine Hospital,Anhui,Lu'an 237006,China)

机构地区：[1]六安市中医院心病二科,安徽六安237006

出　　处：《中国医学前沿杂志（电子版）》2021年第2期39-42,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：2018年安徽省医学会急诊临床研究项目(ky2018007)。

摘　　要：目的探讨八段锦联合有氧耐力训练对老年稳定性冠心病合并慢性心力衰竭患者的应用效果。方法选取2018年1月至2019年7月六安市中医院收治的76例老年稳定性冠心病合并慢性心力衰竭患者为研究对象,按照随机数字表法将其分为观察组(38例)和对照组(38例)。在常规药物治疗基础上,对照组患者采取有氧耐力训练,观察组患者采取八段锦联合有氧耐力训练,两组患者均完成6个月的训练。比较训练前后两组患者心功能[N末端B型利钠肽原(N-terminal pro-B-type natriuretic peptide,NT-proBNP)水平、左室射血分数(left ventricular ejection fraction,LVEF)、6 min步行试验(6 min walk test,6MWT)的步行距离]、负面情绪[汉密尔顿抑郁量表(Hamilton depression scale,HAMD)和汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分]、明尼苏达心力衰竭生存质量问卷(Minnesota living with heart failure questionnaire,MLHFQ)评分。结果训练3个月和6个月后,两组患者NT-proBNP水平均显著低于本组训练前(均P<0.05),LVEF和6MWT的步行距离均显著大于本组训练前(均P<0.05),且观察组患者NT-proBNP水平均显著低于同期对照组(均P<0.05),LVEF和6MWT的步行距离均显著大于同期对照组(均P<0.05)。训练3个月和6个月后,观察组患者HAMA、HAMD、MLHFQ评分均显著低于本组训练前和同期对照组(均P<0.05)。训练3个月后,对照组患者MLHFQ评分显著低于本组训练前(P<0.05);训练6个月后,对照组患者HAMA、HAMD、MLHFQ评分均显著低于本组训练前(均P<0.05)。结论八段锦联合有氧耐力训练能显著改善老年稳定性冠心病合并慢性心力衰竭患者的心功能,缓解其负面情绪,提高生存质量。Objective To investigate the effect of Baduanjin combined with aerobic endurance training on elderly patients with stable coronary heart disease complicated with chronic heart failure.Method Seventy-six elderly patients with stable coronary heart disease complicated with chronic heart failure admitted to Lu'an Traditional Chinese Medicine Hospital from January 2018 to July 2019 were prospectively enrolled for the study and they were divided into observation group(n=38)and control group(n=38)according to the random number table method.On the basis of conventional drug treatment,patients in control group received aerobic endurance training,patients in observation group received Baduanjin combined with aerobic endurance training,and both groups completed 6 months of training.The cardiac function[N-terminal pro-B-type natriuretic peptide(NT-proBNP),left ventricular ejection fraction(LVEF),6 min walk test(6MWT)],negative emotion[Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)scores]and Minnesota living with heart failure questionnaire(MLHFQ)score were compared between the two groups before and after training.Result At 3 and 6 months after training,the levels of NT-proBNP in both groups were significantly lower than those before training(all P<0.05),the walking distances of 6MWT and LVEF were significantly higher than those before training(all P<0.05),and the levels of NT-proBNP in observation group were significantly lower than those in control group(all P<0.05),the walking distances of 6MWT and LVEF in observation group were significantly higher than those in control group(all P<0.05).At 3 and 6 months after training,the scores of HAMA,HAMD and MLHFQ in observation group were significantly lower than those before training and those in control group at the same time(all P<0.05).At 3 months after training,the MLHFQ score in control group was significantly lower than that before training(P<0.05);at 6 months after training,the scores of HAMA,HAMD and MLHFQ in control group were significantly lower than th

关 键 词：八段锦 冠心病 慢性心力衰竭 老年 运动训练 生存质量 

分 类 号：R541.6[医药卫生—心血管疾病] R541.4[医药卫生—内科学]