八段锦对胸痹心痛(稳定型劳累性心绞痛)运动康复的临床研究  

Clinical Study of Baduanjinon Exercise Rehabilitation of Patients with Chest Pain

作　　者：赵梓彤 董波[2] ZHAO Zitong;DONG Bo(Gaoyou People's Hospital,Gaoyou 225600,Jiangsu,China;Affiliated Second Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110034,Liaoning,China)

机构地区：[1]高邮市人民医院,江苏高邮225600 [2]辽宁中医药大学附属第二医院,辽宁沈阳110034

出　　处：《实用中医内科杂志》2021年第9期116-118,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省科学事业公益研究基金(201703)。

摘　　要：目的采用心肺运动试验(CPET)定量评估冠心病稳定型劳累性心绞痛患者心肺功能,定制个体化运动处方,对比八段锦传统运动功法,对患者心肺功能改善程度的研究。方法选择2018年1月-2018年12月于辽宁中医药大学附属二院心一科临床诊断为冠心病住院患者72例,按照随机原则分为八段锦运动组、常规运动组各36例。常规运动组以CPET试验结果为依据,定制个体化运动方案,八段锦运动组使用八段锦进行运动康复治疗。运动强度以Borg评分和/或心率作为判定标准(Brog评分在12~13分),35 min/d,每周5 d,共计12周。记录两组患者一般情况、峰值摄氧量、无氧阈值的代谢当量、峰值氧脉搏(最大/预计)等指标。结果对比运动前后两组不同方案对冠心病稳定型劳累性心绞痛患者心肺功能,使用SPSS 23.0统计软件对治疗前后的各项数据进行统计分析,两组12周治疗后心肺功能较运动治疗前均有改善(P<0.05),八段锦运动组疗效更佳(P<0.05)。结论八段锦可以通过培元补气,活血舒筋改善胸痹心痛(冠心病稳定型劳累性心绞痛)患者运动心肺功能,提高生活质量。Objective To quantitatively evaluate the cardiopulmonary function of patients with stable angina pectoris of coronary heart disease(CHD) by cardiopulmonary exercise test(CPET), customize the individualized exercise prescription, and compare the traditional exercise method of Baduanjin.Methods From January 2018 to December 2018, 72 hospitalized patients with CHD were randomly divided into Baduanjin exercise group and conventional exercise group, 36 cases in each group. According to the results of CPET test, the routine exercise group customized individual exercise program, and Baduanjin exercise group used Baduanjin for exercise rehabilitation treatment. Borg score and/or heart rate(BROG score was 12-13) were usedto judge the exercise intensity,35 min/d,5 d/week for 12 weeks. The general condition,peak oxygen uptake,metabolic equivalent of anaerobic threshold and peak oxygen pulse( max/predicted) were recorded. Results The cardiopulmonary function of the two groups before and after exercise was compared,and the data before and after treatment was statistically analyzed by SPSS 23. 0 statistical software. The cardiopulmonary function of the two groups after 12 weeks of treatment was improved compared with that before exercise treatment( P < 0. 05). The curative effect of Baduanjin exercise group was better than that of the control group( P < 0. 05). Conclusion Baduanjin can improve the cardiopulmonary function of patients with chest pain( stable angina pectoris of coronary heart disease) and improve the quality of life by reinforcing Qi and activating blood circulation.

关 键 词：八段锦 冠心病 心肺功能 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]