八式太极拳、八段锦对老年慢性心力衰竭患者心功能和生活质量的影响

Effects of eight-form Tai Chi and Baduanjin on cardiac function and quality of life in elderly patients with chronic heart failure

目的探讨八式太极拳、八段锦对老年慢性心力衰竭(CHF)患者心功能和生活质量的影响。方法选择2021年3月至2022年5月在陕西省中医医院就诊的90例CHF患者为研究对象,以随机数字表法将其分为太极拳组、八段锦组及对照组,各30例。太极拳组26例完成,脱落4例;八段锦组28例完成,脱落2例;对照组30例完成。对照组采用西医标准化治疗方案,太极拳组在对照组基础上增加八式太极拳训练,八段锦组在对照组基础上增加八段锦训练。比较三组的治疗效果。结果三组的治疗总有效率比较,差异无统计学意义(P>0.05)。治疗后,三组的N末端B型利钠肽原(NT-proBNP)水平、左室收缩末期内径(LVESD)及左室舒张末期内径(LVEDD)均低于治疗前,左室射血分数(LVEF)、左室短轴缩短率(FS)均高于治疗前(P<0.05)。治疗后,三组的明尼苏达心力衰竭生活质量量表(MLHFQ)评分、Lee氏心力衰竭积分均低于治疗前(P<0.05);治疗后,太极拳组、八段锦组的MLHFQ评分、Lee氏心力衰竭积分低于对照组(P<0.05)。结论八式太极拳、八段锦可以提高老年CHF患者的生活质量,改善疾病症状,值得在临床中推广及应用。

Objective To explore the effects of eight-form Tai Chi and Baduanjin on cardiac function and quality of life in elderly patients with chronic heart failure(CHF).Methods A total of 90 patients with CHF who were treated in Shaanxi Provincial Hospital of Chinese Medicine from March 2021 to May 2022 were selected as the research objects.The patients were divided into Tai Chi group,Baduanjin group and control group by random number table method,with 30 cases in each group.In the Tai Chi group,26 cases were completed and 4 cases fell off;in the Baduanjin group,28 cases were completed and 2 cases fell off;the control group of 30 cases completed.The control group was treated with standardized treatment of western medicine,the Tai Chi group was given the eight-form Tai Chi training on the basis of the control group,and the Baduanjin group was given the Baduanjin training on the basis of the control group.The therapeutic effects of the three groups were compared.Results There was no significant difference in the total effective rate of treatment among the three groups(P>0.05).After treatment,the N-terminal pro-B-type natriuretic peptide(NT-proBNP)level,left ventricular end systolic diameter(LVESD)and left ventricular end diastolic diameter(LVEDD)in the three groups were lower than those before treatment,while the left ventricular ejection fraction(LVEF)and left ventricular fractional shortening(FS)were higher than those before treatment(P<0.05).After treatment,the Minnesota Living with Heart Failure Questionnaire(MLHFQ)score and Lee's heart failure score of the three groups were lower than those before treatment(P<0.05);after treatment,the MLHFQ score and Lee's heart failure score of the Tai Chi group and Baduanjin group were lower than those of the control group(P<0.05).Conclusion Eight-form Tai Chi and Baduanjin can improve the quality of life of elderly CHF patients and improve the symptoms of the disease,which is worthy of promotion and application in clinical practice.