参蛤散联合八段锦对慢性心力衰竭患者心脏康复的影响

Effect of Shenge Powder Combine with Baduanjin on Cardiac Rehabilitation in Patients with Chronic Heart Failure

目的观察参蛤散联合八段锦对气虚血瘀型慢性心力衰竭的临床疗效。方法将76例心衰患者按随机数字表法分为对照组和治疗组各38例。对照组采用内科常规治疗,治疗组在对照组基础上加用参蛤散联合八段锦康复锻炼,2组疗程均为8周。观察2组患者的临床疗效、中医证候积分、血清NT-proBNP水平、6 min步行距离(6MWD)和明尼苏达生存质量问卷(MLHFQ)评分。结果治疗组临床总有效率(86.84%)高于对照组(71.05%),差异有统计学意义(P<0.05)。治疗前,2组NT-proBNP水平、6MWT及MLHFQ评分比较,差异无统计学意义(P>0.05);治疗后,治疗组NT-proBNP水平低于对照组,6MWT、MLHFQ评分均高于对照组,差异有统计学意义(P<0.05)。结论参蛤散联合八段锦可以提高慢性心力衰竭患者的心功能和生活质量,效果显著,安全可行。

Objective To explore the effects of Shenge powder combine with Baduanjin on cardiac rehabilitation in patients with chronic heart failure of qi deficiency and blood stasis. Methods Totally 76 patients with heart failure were divided into control group and treatment group by random number method,with 38 cases in each group. The control group was given routine anti-heart failure treatment. The treatment group was additionally given Shenge powder combine with Baduanjin rehabilitation exercise. The treatment course was 8 weeks. The clinical efficacy,TCM syndrome score,level of NT-proBNP,6 MWT and MLHFQ score were observed. Results The total effective rate of the treatment group( 86. 84%) was significantly higher than that of the control group( 71. 05%),and the difference was statistically significant( P < 0. 05). Before treatment,The level of NT-proBNP,6 MWT and MLHFQ score between the two groups was compared,and the difference was not statistically significant( P > 0. 05). The level of NT-proBNP,6 MWT and MLHFQ score of the treatment group were significantly better than those of the control group,and the difference was statistically significant( P < 0. 05). Conclusion Shenge powder combined with Baduanjin can improve the heart function and quality of life of CHF patients,and reduce the NT-proBNP level. It has significant effect and high safety.