八段锦对稳定性冠心病患者运动心肺功能及生存质量影响的随机对照试验  

The Effect of Baduanjin on Exercise Cardiopulmonary Function and Quality of Life in Patients with Stable Coronary Artery Disease:A Randomized Controlled Trial

作　　者：王贤良[1] 莫欣宇[2] 王帅[1] 赵志强[1] 侯雅竹[1] 毕颖斐[1] 毛静远[1] WANG Xianliang;MO Xinyu;WANG Shuai;ZHAO Zhiqiang;HOU Yazhu;BI Yingfei;MAO Jingyuan(First Teaching Hospital of Tianjin University of Tradhitional Chinese Medicine,Tianjin,300381;Qiaman Medical College for Nationalities)

机构地区：[1]天津中医药大学第一附属医院,天津市 [2]黔南民族医学高等专科学校

出　　处：《中医杂志》2021年第10期881-886,903,共7页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2015001);教育部“创新团队发展计划”(IRT16R54)。

摘　　要：目的观察八段锦对稳定性冠心病患者运动心肺功能、心绞痛症状及生存质量等的影响及安全性。方法纳入2017年11月至2018年6月在天津中医药大学第一附属医院心血管科就诊的稳定性冠心病患者60例,随机分为治疗组和对照组各30例。治疗组采用中西医结合常规治疗联合八段锦康复运动,疗程为1个月;对照组仅采用中西医结合常规治疗。观察治疗前后两组患者运动心肺功能指标[无氧阈(AT)、峰值下运动负荷、峰值下运动时间、摄氧量、千克摄氧量、代谢当量、通气量、潮气量、呼吸频率、呼吸储备]、心绞痛症状(心绞痛严重程度分级、心绞痛积分)、生存质量(欧洲五维健康量表评分)、不良心血管事件及安全性指标变化。结果治疗后治疗组AT和峰值下运动负荷、摄氧量、千克摄氧量、代谢当量及在峰值下运动时间均较治疗前增加(P<0.01),对照组AT下的运动负荷较治疗前增加(P<0.01),且治疗组改善均优于对照组(P<0.05或P<0.01);治疗后治疗组AT及峰值下通气量、潮气量均高于对照组(P<0.05或P<0.01),治疗组峰值下呼吸频率高于对照组(P<0.05),治疗组在峰值下的呼吸储备低于对照组(P<0.05);治疗后两组心绞痛严重程度分级、心绞痛积分、欧洲五维健康量表评分均较治疗前改善(P<0.05或P<0.01),且治疗组均优于对照组(P<0.05或P<0.01)。结论在中西医结合常规治疗的基础上联合八段锦运动康复,可进一步改善稳定性冠心病患者的运动心肺功能,缓解心绞痛症状,提高生存质量,且安全性良好。Objective To explore the effect of Baduanjin on exercise cardiopulmonary function,angina pectoris symptoms and quality of life as well as the safety in patients with stable coronary artery disease(SCAD).Methods Sixty SCAD patients who were admitted to the cardiovascular department of the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine from November 2017 to June 2018 were recruited and randomised into treatment group and control group with 30 cases in each group.The treatment group received Baduanjin in combination with conventional treatment,while the control group was given conventional integrated traditional Chinese and Western medicine treatment alone,both for one month.The exercise cardiopulmonary function indexes including anaerobic threshold(AT),peak exercise load,peak exercise time,oxygen uptake(VO2),kilogram oxygen uptake(VO2/kg),metabolic equivalent(MET),ventilation(VE),tidal volume(VT),respiratory frequency(Rf),and breathing reserve(BR),the angina pectoris symptoms including angina pectoris severity grading and angina pectoris score,quality of life(European five-dimensional health scale,EQ-5 D),adverse cardiovascular events and safety indicators were assessed.Results The AT level,peak exercise load,VO2,VO2/kg,MET,and peak exercise time of the treatment group significantly increased after treatment(P<0.01),and the AT and peak exercise load of the control group was also higher than that before treatment(P<0.01);more increase was seen in treatment group than in control group(P<0.05 or P<0.01).The AT and peak VE and VT of the treatment group were significantly higher than those of the control group after treatment(P<0.05 or P<0.01);the peak Rf was also higher(P<0.05)while the BR was lower(P<0.05).The angina pectoris severity grading,angina pectoris score,and EQ-5 D score showed improved results after treatment(P<0.05 or P<0.01)in both groups,and more improvements were seen in treatment group than in control group(P<0.05 or P<0.01).Conclusion On the basis of conventional treatme

关 键 词：稳定性冠心病 八段锦 心脏康复 随机对照试验 

分 类 号：R541.4[医药卫生—心血管疾病]