八段锦对冠心病患者心脏康复过程心肺功能的影响

Effect of Ba Duan Jin on Cardiopulmonary Function of Patients with Coronary Heart Disease during Cardiac Rehabilitation

目的观察八段锦参与心脏康复过程对冠心病患者心肺功能的影响。方法将64例冠心病稳定型心绞痛按康复方法不同分为对照组和观察组,每组32例,对照组接受常规心脏康复治疗,观察组在对照组基础上,进行健身气功八段锦锻炼,进行12周心脏康复干预,康复干预前后进行心脏彩超检查和运动心肺功能测定。结果两组康复12周后两组每搏输出量(SV)、左室射血分数(EF)、心指数(CI)均显著高于康复前(P<0.05),心率(HR)与康复前比较差异无统计学意义(P>0.05);康复12周后观察组EF、CI均高于对照组(P<0.05),而HR、SV比较差异无统计学意义(P>0.05)。两组康复12周后,峰值运动等级、峰值心率(HRpeak)、峰值代谢当量(METspeak)、峰值氧脉搏均显著高于康复前(P<0.05);康复12周后观察组HRpeak、METspeak、峰值氧脉搏均高于对照组(P<0.05),而两组峰值运动等级差异无统计学意义(P>0.05)。结论八段锦结合心脏康复可以更有效的改善心肺功能、恢复健康,提高生活质量。

Objective To observe effect of Ba Duan Jin on cardiopulmonary function of patients with coronary heart disease（ CHD） during cardiac rehabilitation. Methods A total of 64 CHD patients with stable angina pectoris were divided into control group and observation group according to different rehabilitation methods（ n = 32 for each group）. Control group received routine treatment for cardiac rehabilitation,while observation group was added with Ba Duan Jin exercise（ gymnastic qigong） on the basis of routine treatment for cardiac rehabilitation. The time of intervention treatment for cardiac rehabilitation was 12 weeks,and cardiac ultrasound examination and cardiopulmonary exercise testing were performed before and after intervention in two groups. Results After intervention for 12 weeks,values of stroke volume（ SV）,left ventricular ejection fraction（ EF） and cardiac index（ CI） were significantly higher（ P〈0. 05）,while there was no significant difference in heart rate（ HR） than those before intervention in two groups（ P〉0. 05）. After intervention for 12 weeks,EF and CI values were significantly higher（ P〈0. 05）,while there were no significant differences in HR and SV in observation group compared with those in control group（ P〉0. 05）. After intervention for 12 weeks,values of peak sports level,peak heart rate（ HRpeak）,peak metabolic equivalents（ Metspeak） and peak oxygen pulse were significantly higher than before intervention in two groups（ P〈0. 05）; HRpeak,Metspeak and peak oxygen pulse values were significantly higher（ P〈0. 05）,while there was no significant difference in peak sports level in observation group compared with those in control group（ P〉0. 05）. Conclusion Ba Duan Jin combined with cardiac rehabilitation can more effectively improve cardiopulmonary function,recover health and improve the quality of life.