八段锦康复运动对冠心病患者心肺功能、心绞痛及生活质量的影响

Influence of Baduanjin rehabilitation exercise on cardiopulmonary function,angina pectoris and quality of life in CHD patients

目的:探讨八段锦康复运动对冠心病(CHD)患者心肺功能、心绞痛及生活质量的影响。方法:我院的CHD患者120例,根据康复方案分为常规康复组和八段锦组,各60例。1个月后,比较两组康复前后的心率(HR)、每搏输出量(SV)、左心室射血分数(LVEF)、心脏指数(CI)、第1秒用力呼气容积(FEV1)、最大自主通气量(MVV)以及心绞痛积分、发生次数、持续时间,硝酸甘油每周用量,健康生活质量简表(SF-12)评分。结果:与治疗前比较,康复治疗1个月后两组的心肺功能、心绞痛及生活质量均有显著改善,P均=0.001;与常规康复组比较,八段锦组治疗后的SV[(61.63±6.93)ml比(67.27±6.32)ml],LVEF[(58.30±4.91)%比(63.65±4.96)%],CI[(2.14±0.15)L·min^(-1)·m^(-2)比(2.25±0.15)L·min^(-1)·m^(-2)],FEV1[(1.97±0.12)L比(2.16±0.12)L],MVV[(72.14±1.54)L/min比(75.48±1.50)L/min],SF-12的生理功能条目总分[(40.02±5.08)分比(44.07±5.17)分]和心理状态条目总分[(45.47±4.66)分比(50.53±4.94)分]显著增加,心绞痛积分[(7.32±2.52)分比(4.47±1.58)分]、心绞痛发病次数[(3.25±1.18)次比(2.18±1.05)次]、心绞痛持续时间[(3.21±1.07)min比(2.23±1.10)min]以及硝酸甘油每周用量[(2.22±1.10)片比(1.26±0.77)片]均显著减少(P均=0.001)。结论:在常规心脏康复治疗方案的基础之上再采用气功八段锦,能更显著地改善心肺功能、心绞痛及生活质量,促进CHD患者的康复。

Objective:To explore influence of Baduanjin rehabilitation exercise on cardiopulmonary function,angina pectoris and quality of life in patients with coronary heart disease(CHD).Methods:A total of 120 CHD patients treated in our hospital were equally divided into routine rehabilitation group and Baduanjin group.After one month,heart rate(HR),stroke volume(SV),left ventricular ejection fraction(LVEF),cardiac index(CI),forced expiratory volume in the first second(FEV1),maximal ventilatory volume(MVV),score,onset times and duration of angina pectoris,nitroglycerin dosage per week,and health quality of the summary table SF-12 score were compared between two groups before and after rehabilitation.Results:Compared with before treatment,after one-month rehabilitation treatment,there were significant improvements in cardiopulmonary function,incidence of angina pectoris and quality of life in two groups,P=0.001 all;compared with routine rehabilitation group after treatment,there were significant rise in SV[(61.63±6.93)ml vs.(67.27±6.32)ml],LVEF[(58.30±4.91)%vs.(63.65±4.96)%],CI[(2.14±0.15)L·min^(-1)·m^(-2) vs.(2.25±0.15)L·min^(-1)·m^(-2)],FEV1[(1.97±0.12)L vs.(2.16±0.12)L],MVV[(72.14±1.54)L/min vs.(75.48±1.50)L/min],total item scores of physiological function[(40.02±5.08)scores vs.(44.07±5.17)scores]and psychological state[(45.47±4.66)scores vs.(50.53±4.94)scores]of SF-12,and significant reductions in score[(7.32±2.52)scores vs.(4.47±1.58)scores],onset times[(3.25±1.18)times vs.(2.18±1.05)times]and duration[(3.21±1.07)min vs.(2.23±1.10)min]of angina pectoris and nitroglycerin dosage per week[(2.22±1.10)tablets vs.(1.26±0.77)tablets]in Baduanjin group,P=0.001 all.Conclusion:Qigong Baduanjin based on routine cardiac rehabilitation treatment program can significantly improve cardiopulmonary function,angina pectoris and quality of life,and promote rehabilitation in CHD patients.