易筋经联合耐力运动对冠心病患者心肺功能和生活质量的影响

The effect of Yi Jinjing combined with endurance exercise on cardiopulmonary function and quality of life in patients with coronary heart disease

目的观察易筋经联合耐力运动对冠心病患者心肺功能和生活质量的影响。方法 90例冠心病患者通过随机数字表法分为常规治疗组、功率车训练组、易筋经和功率车联合训练(易筋经训练)组,各30例。常规治疗组只进行常规治疗,功率车训练组在常规治疗的基础上进行功率车训练,易筋经训练组在进行常规治疗的同时给予易筋经联合耐力运动训练,疗程12周。结果治疗12周后,功率车训练组和易筋经训练组的无氧阈(anaerobic threshold,AT)、峰值功率(peak power,PP)、峰值氧脉搏(peak oxygen pulse,POP)、用力肺活量(forced vital capacity,FVC)、第1秒用力呼气量(forced expiratory volume in first second,FEV1)、最大通气量(maximal voluntory ventilation,MVV)以及健康测量量表(the MOS item short from health survey, SF-36)中的总体健康(General Health, GH)、社会功能(Social Functioning, SF)、精神健康(Mental Health, MH)显著高于常规治疗组(P < 0.05),二氧化碳通气当量斜率(ventilation relative to carbon dioxide production,VE/VCO2)显著低于常规治疗组(P < 0.05);并且易筋经训练组在改善POP、VE/VCO2、MVV以及GH和MH显著优于功率车训练组(P < 0.05)。结论易筋经联合耐力运动能明显改善冠心病患者的心肺功能,提高其运动能力,改善其生活质量,最终提高冠心病患者的幸福指数。

AIM To observe the effect of Yi Jinjing combined with endurance exercise on cardiopulmonary function and quality of life in patients with coronary heart disease. METHODS A total of 90 patients with coronary heart disease were randomly divided into a control group, an endurance exercise training group, and a Yi Jinjing combined with endurance exercise group (e.g., combined group), 30 patients in each group. RESULTS 12 weeks after treatment, the endurance exercise training group and the combined group of anaerobic threshold (AT)、peak power (PP)、peak oxygen pulse (POP)、forced vital capacity (FVC)、forced expiratory volume in the first seconds (FEV1)、maximal voluntary ventilation (MVV) and health measurement scale (SF - 36) in the general health (GH), the social function (SF), mental health (MH) were significantly higher than the control group (P < 0.05), The slope of carbon dioxide ventilation (VE/VCO2) was significantly lower than the control group (P < 0.05). The combined group with regards to improving the POP、 VE/VCO2、 MVV and general health (GH) and mental health (MH) was superior to endurance exercise training group (P < 0.05). CONCLUSION Yi Jinjing combined endurance exercise can significantly improve cardiopulmonary function of patients with coronary heart disease, improve their motor ability, improve their quality of life, and finally improve their happiness index.