传统功法对慢性稳定型心绞痛伴焦虑抑郁的影响及其潜在机制探讨  

Exploration of the effect of traditional exercises on chronic stable angina with anxiety and depression and its potential mechanism

作　　者：罗龙飞 吕强 李鹏 朱安宁 严隽陶[1] Luo Longfei;Lyu Qiang;Li Peng;Zhu Anning;Yan Juantao(Department of Massage,Yueyang Hospital of Integrated Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437;Department of Massage,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院推拿科,上海200437 [2]上海中医药大学附属曙光医院推拿科,上海201203

出　　处：《山西中医药大学学报》2024年第8期934-938,944,共6页Journal of Shanxi University of Chinese Medicine

基　　金：国家中医药管理局高水平中医药重点学科建设项目(zyyzdxk-2023061);国家中医药管理局严隽陶全国名老中医药专家传承工作室建设项目(国中医药人教函〔2012〕149号);中国传统康复医学研究项目(SMC2013)。

摘　　要：慢性稳定型心绞痛(chronic stable angina,CSA)是常见的冠心病临床类型,常伴发焦虑、抑郁等情绪障碍,严重影响患者的生活质量。传统功法(包括太极拳、八段锦、六字诀等)讲究“调息”“调身”“调心”三调合一,将形体活动、呼吸吐纳、心理调节相结合,对CSA伴焦虑、抑郁可起到综合调节的作用,一是导气令和,减少CSA患者心绞痛的发作次数,缩短持续时间,改善血糖、血脂及心肺功能;二是引体令柔,改善老年CSA患者活动能力,提高生活质量。传统功法通过减轻炎症反应、调节血脂血糖、改善血液流变性、调节肠道菌群、降低心肌耗氧量等途径对CSA发挥直接或间接的治疗作用。Chronic stable angina(CSA)is a common clinical type of coronary heart disease,often accompanied by anxiety,depression and other emotional disorders,seriously affecting the quality of life of patients.Traditional exercises(including Tai Chi,eight trigrams boxing,six-word qigong,etc.)emphasize the combination of“regulating breath”,“regulating body”and“regulating mind”.It combines physical activity,breathing and psychological adjustment,and can play a comprehensive role in regulating CSA accompanied by anxiety and depression.One of the roles is dredging and regulating Qi and blood in the body and regulating breathing Qi,reducing the number of angina attacks in CSA patients,shortening the duration,and improving blood sugar,blood lipids and cardiopulmonary function;the second is promoting joints,ligaments and muscles movements,and improving the mobility of elderly CSA patients and the quality of life.Traditional exercises play a direct or indirect role in the treatment of CSA by reducing inflammation,regulating blood lipids and blood sugar,improving hemorrheology,regulating intestinal flora,and reducing myocardial oxygen consumption.

关 键 词：慢性稳定型心绞痛 焦虑抑郁 导引 功法 

分 类 号：R541.4[医药卫生—心血管疾病] R749.4[医药卫生—内科学]