八段锦联合广播体操对慢性心力衰竭患者相关指标及预后的影响

Study on the influence of Baduanjin joint broadcast gymnastics on the related indexes and prognosis of patients with chronic heart failure

目的分析八段锦联合广播体操对慢性心力衰竭患者相关指标及预后的影响。方法选取2022年10月至2023年10月鄂尔多斯市中心医院收治的100例慢性心力衰竭患者作为研究对象,依据随机数字表法将研究对象分为对照组及试验组,两组各50例;两组均给予常规药物治疗,在此基础上,对照组给予常规运动康复治疗,试验组给予八段锦联合广播体操运动康复治疗,两组均干预6个月,对比两组干预前后超声心动图、心肺运动试验相关指标、N末端B型利钠肽原(NT-proBNP)水平及不良心血管事件(MACE)发生率。结果运动康复治疗前,对照组与试验组的各项指标比较组间差异无统计学差异(P>0.05)。治疗6个月后,试验组患者左心室射血分数(LVEF)和左室短轴缩短率(LVFS)明显高于治疗前(P<0.05),NT-proBNP和左心室舒张末期内径(LVEDD)明显低于治疗前(P<0.05);对照组患者LVEF和LVFS明显高于治疗前(P<0.05),NT-proBNP明显低于治疗前(P<0.05),LVEDD较治疗前无明显变化(P>0.05);试验组患者的LVEDD和NT-proBNP明显低于对照组[(54.33±6.58)mm比(58.60±5.23)mm、(1037.37±352.94)pg/ml比(1503.86±610.97)pg/ml,P<0.05],LVEF和LVFS明显高于对照组[(51.89±4.98)%比(47.98±5.86)%,P<0.05]。试验组患者MET、Peak VO_(2)/kg、Peak O2pulse明显高于治疗前(P<0.05);对照组患者的MET、Peak O2pulse明显高于治疗前(P<0.05),Peak VO_(2)/kg较治疗前无明显变化(P>0.05);试验组的MET、Peak VO_(2)/kg、Peak O2pulse明显高于对照组[(5.52±0.99)比(4.59±0.70)、(16.37±1.71)ml·kg^(-1)·min^(-1)比(15.36±1.44)ml·kg^(-1)·min^(-1)、(9.87±1.68)ml/beat比(9.15±1.60)ml/beat,P<0.05]。试验组的MACE发生率和对照组相比无统计学意义(P>0.05)。结论八段锦联合广播体操可能较常规康复治疗更能够改善CHF患者的心肺功能、运动耐量及预后。

Objective To evaluate the impact of Baduanjin joint broadcast gymnastics on the associated indices and the prognosis of patients with chronic heart failure(CHF).Methods A total of 100 patients with chronic heart failure admitted to Ordos Central Hospital from October 2022 to October 2023 were selected as the study objects.The study objects were split into two groups of 50 cases each,the control group and the experimental group,using the random number table technique.The two groups received standard medication therapy.Based on this,the control group was given conventional exercise rehabilitation treatment,the experimental group was given Baduanjin joint broadcast gymnastics rehabilitation treatment,both groups were treated for 6 months,and the relevant indexes of heart color ultrasound,cardiopulmonary exercise test,NT-proBNP level and the incidence of MACE were compared between the two groups before and after intervention.Results Before exercise rehabilitation treatment,there was no statistical difference between the control group and the experimental group(P>0.05);After 6 months of treatment,left ventricular ejection fraction(LVEF)and left ventricular short axis shortening rate(LVFS)in experimental group were significantly higher than before treatment(P<0.05),NT-proBNP and left ventricular end-diastolic diameter(LVEDD)were significantly lower than before treatment(P<0.05);LVEF and LVFS in control group were significantly higher than before treatment(P<0.05),NT-proBNP was significantly lower than before treatment(P<0.05),and LVEDD had no significant change compared with before treatment(P>0.05);The LVEDD and NT-proBNP of experimental group were significantly lower than those of control group[(54.33±6.58)mm vs.(58.60±5.23)mm,(1037.37±352.94)pg/ml vs.(1503.86±610.97)pg/ml,P<0.05].LVEF and LVFS were significantly higher than control group[(51.89±4.98)%vs.(47.98±5.86)%,P<0.05].MET,Peak VO_(2)/kg and Peak O2 pulse in experimental group were significantly higher than before treatment(P<0.05).In control group,MET and Peak O2 pulse were significantly higher than before treatment(P<0.05),and Peak VO_(2)/kg had no significant change compared with before treatment(P>0.05);MET,Peak VO_(2)/kg and Peak O2 pulse of experimental group is significantly higher than the control group[(5.52±0.99)vs.(4.59±0.70),(16.37±1.71)ml·kg^(-1)·min^(-1)vs.(15.36±1.44)ml·kg^(-1)·min^(-1),(9.87±1.68)ml/beat vs.(9.15±1.60)ml/beat,P<0.05].The incidence of MACE in experimental group was not statistically significant compared with control group(P>0.05).Conclusion Compared with conventional exercise rehabilitation treatment,Baduanjin United broadcast gymnastics rehabilitation treatment may be able to improve the cardiorespiratory fitness,exercise tolerance,and prognosis of patients with CHF more than conventional rehabilitation therapy.