八段锦对心肌梗死后心力衰竭患者心功能及生活质量的影响

Effect of Baduanjin exercise on cardiac function and quality of life in patients with heart failure after myocardial infarction

目的研究八段锦对心肌梗死后心力衰竭患者心功能及生活质量的影响。方法选取2019年9月—2020年9月江西省人民医院红谷滩分院收治的100例心肌梗死后心功能分级为Ⅱ级或Ⅲ级的患者作为研究对象,采用随机数字表法将患者分为常规组及联合组,每组各50例。常规组患者给予常规治疗及健康教育,联合组患者在常规组基础上加用八段锦锻炼。观察两组患者的6 min步行试验距离、左室收缩末期内径(LVESD)、左室舒张末期内径(LVEDD)、左室射血分数(LVEF)及生活质量。结果两组患者干预前的6 min步行试验距离比较,差异无统计学意义(P>0.05);两组患者干预后的6 min步行试验距离均长于干预前,且联合组患者干预后的6 min步行试验距离长于常规组,差异有统计学意义(P<0.05);干预前,两组患者的LVESD、LVEDD及LVEF水平比较,差异无统计学意义(P>0.05);两组患者干预后的LVESD、LVEDD水平均低于干预前,且联合组患者干预后的LVESD、LVEDD水平低于常规组,联合组干预后的LVEF水平高于常规组,差异有统计学意义(P<0.05);两组患者干预后的各项生活质量评分低于干预前,且联合组患者干预后的各项生活质量评分低于常规组,差异有统计学意义(P<0.05)。结论八段锦可有效提高心肌梗死后心力衰竭患者的生活质量,改善患者的心功能及临床症状。

Objective To study the effect of Baduanjin exercise on cardiac function and quality of life in patients with heart failure after myocardial infarction.Methods A total of 100 patients with cardiac function gradeⅡorⅢafter myocardial infarction who were treated in the Honggutan Hospital,Jiangxi Provincial People′s Hospital were selected as subjects from September 2019 to September 2020,and the patients were divided into conventional group and combined group according to the random number table method,with 50 cases in each group.Conventional group was given conventional treatment and health education,and combined group was additionally given Baduanjin exercise on the basis of conventional group.The 6 min walking distance,left ventricular end systolic diameter(LVESD),left ventricular end diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF)and quality of life of the two groups were observed.Results There was no statistical significance in the 6 min walking distance between the two groups before intervention(P>0.05).The 6 min walking test distance after intervention in both groups was longer than those before intervention,and the 6 min walking test distance after intervention in the combined group was longer than that in the conventional group,with statistical significances(P<0.05).Before intervention,there were no significant differences in LVESD,LVEDD and LVEF levels between the two groups(P>0.05).After intervention,the LVESD and LVEDD levels in the two groups were lower than those before intervention,and the LVESD and LVEDD levels in the combined group were lower than those in the conventional group,and the LVEF level in the combined group was higher than that in the conventional group,with statistical significances(P<0.05).The quality of life scores of the two groups after intervention were lower than those before intervention,and the quality of life scores of the combined group after intervention were lower than those of the routine group,with statistical significances(P<0.05).Conclusion Baduanjin exercise can effectively enhance the quality of life,and improve the cardiac function and clinical symptoms of patients with heart failure after myocardial infarction.