摘要
目的评估太极拳在老年心肌梗死后心力衰竭患者心脏康复中的临床应用价值。方法2017年1月至2019年6月,将200例老年心肌梗死后心力衰竭患者分为对照组(n=100)和试验组(n=100),对照组给予常规药物治疗,试验组在对照组的基础上增加太极拳运动。比较两组治疗24周后心功能分级、血浆脑钠肽(BNP)、醛固酮(ALD)水平,6分钟步行距离(6MWD),左室射血分数(LVEF),明尼苏达心力衰竭生活质量量表评分以及再入院率和死亡率。结果治疗后,试验组心功能变化有效者多于对照组(χ2=5.143,P<0.05),无效者少于对照组(χ2=5.924,P<0.05);两组血浆BNP和ALD、6MWD、LVEF和生活质量评分显著改善(|t|>9.883,P<0.001),试验组均显著优于对照组(|t|>4.023,P<0.001)。试验组死亡率和再住院率均低于对照组,但无显著性差异(P>0.05)。结论太极拳能够提高老年心肌梗死后心力衰竭患者的心功能、运动耐力和生活质量。
Objective To explore the effect of Tai Ji Quan in the progress of rehabilitation training for elderly patients with heart failure after myocardial infarction.Methods From January,2017 to June,2019,a total of 200 elderly patients with heart failure after myocardial infarction were divided into control group(n=100)and experimental group(n=100).The control group received routine medicine,and the experimental group received Tai Ji Quan exercise in addition.After 24-week treatment,their cardiac functional grading,plasma levels of brain natriuretic peptide(BNP)and aldosterone(ALD),six minutes walking distance(6MWD),left ventricular ejection fractions(LVEF),quality of life,and readmission rate and mortality rate were compared.Results After treatment,the cardiac function was better in the experimental group than in the control group(χ2>5.143,P<0.05);the plasma levels of BNP and ALD,6MWD,LVEF and quality of life significantly improved(|t|>9.883,P<0.001),and were better in the experimental group than in the control group(|t|>4.023,P<0.001).The readmission rate and mortality rate were lower in the experimental group than in the control group,but no significant difference was found(P>0.05).Conclusion Tai Ji Quan exercise could improve the cardiac function,exercise tolerance and quality of life of the elderly patients with heart failure after myocardial infarction.
作者
于曼丽
姜衡
李彬
柴丽莉
沈慧
施峰
谢东峰
林兴中
YU Man-li;JIANG Heng;LI Bin;CHAI Li-li;SHEN Hui;SHI Feng;XIE Dong-feng;LIN Xing-zhong(Department of Cardiology,Changhai Hospital,Naval Medical University,Shanghai 200433,China;Department of Cardiology,Songjiang Branch of Shanghai First People's Hospital,Shanghai Jiaotong University,Shanghai 201600,China;Jiuting Town Community Health Service Center,Shanghai 201615,China;Fifth Rehabilitation Hospital,Shanghai 201699,China;Shihudang Town Community Health Service Center,Shanghai 201600,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2020年第8期969-974,共6页
Chinese Journal of Rehabilitation Theory and Practice
基金
上海市自然科学基金项目(No.19ZR1455700)
上海市松江区科技计划资助项目(No.2017SJKJGG52)
上海市卫生和计划生育委员会基金项目(No.201640244)
上海市中西医结合学会社区医学与健康管理课题研究专向基金项目(No.2016SH31)。
关键词
心肌梗死
心脏康复
太极拳
生活质量
myocardial infarction
cardiac rehabilitation
Tai Ji Quan
quality of life
