摘要
目的观察八段锦锻炼结合常规运动康复对老年冠心病患者运动功能的影响。方法2019年4月至2021年3月无锡市同仁康复医院收治住院的老年冠心病患者60例,采用随机数字表分为对照组(n=30)和试验组(n=30)。对照组接受1 h/次的常规运动康复,5次/周;试验组进行每次半小时的常规运动康复加每次半小时的八段锦锻炼,5次/周;共8周。干预前后采用6 min步行测试、握力测试、纽约心功能等级及改良呼吸困难指数进行评估。结果最终完成试验56例,其中试验组29例,对照组27例。与干预前相比,两组干预后6 min步行距离和握力均提高(t≥2.819,P<0.001);心功能等级和改良呼吸困难指数均降低(χ^(2)≥2.714,P<0.01)。与对照组相比,试验组干预前后6 min步行距离、握力左的差值比较,差异具有统计学意义(t≥2.009,P<0.05)。结论八段锦锻炼结合常规心脏康复手段可更好地提高老年冠心病患者的6 min步行距离、握力,改善患者的运动功能和心脏功能。
Objective To observe the effect of Baduanjin exercise combined with routine exercise rehabilitation on motor function in elderly patients with coronary heart disease.Methods From April 2019 to March 2021,60 elderly patients with coronary heart disease hospitalized in Wuxi Tongren Rehabilitation Hospital were randomly divided into control group(n=30)and experimental group(n=30).The control group received routine exercise rehabilitation for 1 h/time,5 times/week;The experimental group received routine exercise rehabilitation for half an hour each time and Baduanjin exercise for half an hour each time,5 times/week;A total of 8 weeks.Before and after the intervention,6-min walking test,grip strength test,New York Heart Association(NYHA)function grade and modified Medical Research Council(mMRC)dyspnea scale were used for evaluation.Results Finally,56 cases of the experiment were completed,including 29 cases in the experimental group and 27 cases in the control group.Compared with that before the intervention,the 6-min walking distance and grip strength of the two groups increased after the intervention(t≥2.819,P<0.001);Both cardiac function grade and modified dyspnea index decreased(χ2≥2.714,P<0.01).Compared with the control group,the difference of 6-min walking distance and left hand grip strength before and after intervention in the experimental group was statistically significant(t≥2.009,P<0.05).Conclusion Baduanjin exercise combined with routine cardiac rehabilitation can better improve the 6-minute walking distance and grip strength of elderly patients with coronary heart disease,and improve their motor function and cardiac function.
作者
许忠梅
张丽
钱瑶
陈美琦
Xu Zhongmei;Zhang Li;Qian Yao;Chen Meiqi
出处
《中国疗养医学》
2022年第7期704-707,共4页
Chinese Journal of Convalescent Medicine
关键词
八段锦
冠心病
老年人
心脏康复
Baduanjin
Coronary heart disease
Elderly
Rehabilitation
