Review of Baduanjin and resistance exercise for the mental health of patients with hematologic malignancies

Patients with hematological tumors experience physical and psychological stress,and negative psychological states.Baduanjin,an emerging psychological rehabil-itation method combined with resistance exercise,has received widespread attention.This study reviews the current status of the application of Baduanjin combined with resistance exercise in improving the negative psychological state of patients with hematological tumors and discusses its problems and prospects.Through a literature review and comprehensive analysis,the application of Baduanjin and resistance exercise in the psychological rehabilitation of patients with hematological tumors was identified and evaluated.The results showed that Baduanjin with resistance exercise had a positive effect on improving negative psychological states of patients with hematological tumors,which can alleviate anxiety,depression,and other adverse emotions,and improve quality of life.However,there is a lack of unified and standardized exercise intervention programs for practical application,and patient participation and compliance must be improved.Baduanjin combined with resistance exercise can potentially improve the negative psychological status of patients with hematological tumors;however,it is still necessary to further standardize and improve the exercise program improving patient participation and compliance.Future studies should strengthen theoretical exploration and empirical research,providing more effective psychological rehabilitation strategies for patients with hematological tumors.

The Effect of Seated Baduanjin Exercise on Psychological State, Fatigue Symptoms, and Quality of Life in Maintenance Hemodialysis Patients

Objective:To evaluate the intervention effects of seated Baduanjin exercise on patients undergoing maintenance hemodialysis(MHD).Methods:A total of 108 MHD patients admitted between July 2022 and July 2023 were selected.They were randomly assigned into two groups:the experimental group,with 55 patients,who received seated Baduanjin exercise combined with leg exercises during dialysis;and the control group,with 53 patients,who only performed leg exercises during dialysis.The psychological state,fatigue symptoms,quality of life,and sleep quality scores were compared between the two groups,and exercise endurance was recorded.Results:After the intervention,the psychological state scores in the experimental group were lower than those in the control group,the fatigue symptom scores were lower,the quality of life scores were higher,the sleep quality scores were lower,and the exercise endurance was higher(P<0.05).Conclusion:Seated Baduanjin exercise can improve the negative psychological state and fatigue symptoms of MHD patients,enhance their quality of life and sleep quality,and effectively increase their exercise endurance.

The effects of health Qigong Baduanjin on the prevention,treatment,and recovery of COVID‑19

To summarize the application and modern studies on health Qigong Baduanjin by domestic and foreign scholars,combined them with clinical practice of mobile hospital in Wuhan,we explore the prevention,treatment,and recovery of Baduanjin in the war against COVID‑19.On the basis of studying ancient classics,such as Huangdi’s Internal Classic,and the concrete exercise methods of Baduanjin,we propose three ideas:prevention before disease onset,promoting healing during illness,and strengthening the body after recovery.We aimed to give full play to Baduanjin in the battle against COVID‑19 to popularize correct prevention and health knowledge for the patients and the healthy as well as to provide a reference for medical workers to use Traditional Chinese Medicine to prevention and treatment.

Effects of cognitive behavior therapy combined with Baduanjin in patients with colorectal cancer

BACKGROUND Cancer-related fatigue(CRF)is the most common concomitant symptom in the treatment of colorectal cancer(CRC).Such patients often present with subjective fatigue state accompanied by cognitive dysfunction,which seriously affects the quality of life of patients.AIM To explore the effects of cognitive behavior therapy(CBT)combined with Baduanjin exercise on CRF,cognitive impairment,and quality of life in patients with CRC after chemotherapy,and to provide a theoretical basis and practical reference for rehabilitation of CRC after chemotherapy.METHODS Fifty-five patients with CRC after radical resection and chemotherapy were randomly divided into either an experimental or a control group.The experimental group received the intervention of CBT combined with exercise intervention for 6 mo,and indicators were observed and measured at baseline,3 mo,and 6 mo to evaluate the intervention effect.RESULTS Compared with the baseline values,in the experimental group 3 mo after intervention,cognitive function,quality of life score,and P300 amplitude and latency changes were significantly better(P<0.01).Compared with the control group,at 3 mo,the experimental group had significant differences in CRF,P300 amplitude,and quality of life score(P<0.05),as well as significant differences in P300 latency and cognitive function(P<0.01).Compared with the control group,at 6 mo,CRF,P300 amplitude,P300 latency,cognitive function and quality of life score were further improved in the experimental group,with significant differences(P<0.01).The total score of CRF and the scores of each dimension were negatively correlated with quality of life(P<0.05),while the total score of cognitive impairment and the scores of each dimension were positively correlated with quality of life(P<0.05).CONCLUSION CBT combined with body-building Baduanjin exercise can improve CRF and cognitive impairment in CRC patients after chemotherapy,and improve their quality of life.

Quality evaluation of systematic reviews of the effects of Baduanjin on diabete

Objective:Recently,the effects of Baduanjin(a traditional Chinese mind-body exercise)on diabetes have attracted increasing attention,and relevant systematic reviews(SRs)have emerged.However,the qualities of these SRs vary markedly,and their conclusions are inconsistent,which is not conducive to guiding decision-making.We sought to assess the quality of these SRs and provide more evidence for diabetes treatment.Methods:A literature search was conducted in 7 databases from inception to December 1st,2021.SRs of randomized controlled trials investigating the effects of Baduanjin were identified.A Measurement Tool to Assess Systematic Reviews 2(AMSTAR-2)checklist,Preferred Reporting Items for Systematic Review and Meta-analysis(PRISMA)statement,and Grading of Recommendations Assessment,Development and Evaluation(GRADE)system were applied to evaluate the quality of the SRs.Results:Ten SRs were identified.All SRs were judged as critically low methodological quality by the AMSTAR-2 checklist.The total PRISMA score of the included SRs ranged from 15 to 21,and the mean score was 18.60(1.90),indicating that all SRs had partial reporting deficits.Sixty outcomes were reported in the included studies,of which 25(41.67%)were judged as low quality,and 34(56.67%)as very low quality according to the GRADE system,indicating that the overall evidence quality of outcomes was not high.Conclusion:Baduanjin seems to be an effective therapy for diabetes in improving glucose and lipid metabolism,mental health,quality of life,and waist-hip ratio(WHR).The overall quality of the SRs was less than optimal.This conclusion should be treated with caution,and researchers should conduct higher-quality clinical studies following AMSTAR-2checklist,PRISMA statement,and GRADE system in the future.

Biofeedback therapy combined with Baduanjin on quality of life and gastrointestinal hormone level in patients with colorectal cancer

BACKGROUND With the change in people’s lifestyles,the incidence of colorectal cancer(CRC)is increasing.It is essential to study the efficacy of various treatment methods for CRC patients to prevent and treat CRC.AIM To investigate the efficacy of biofeedback therapy combined with Baduanjin in improving the quality of life and gastrointestinal hormone levels of patients with CRC.METHODS A total of 120 patients with CRC who were admitted to our hospital from June 2020 to June 2021 were included in the study.They were randomly divided into four groups(n=30):the control group(group A),the biofeedback therapy intervention group(group B),the Baduanjin exercise intervention group(group C),and the combination group(group D).Patients in group A adopted the standard nursing mode and necessary health education.Patients in group B were treated with biofeedback therapy based on routine nursing care.Patients in group C were given Baduanjin intervention for 12 wk based on conventional drug treatment and care.Patients in group D were treated with biofeedback therapy and Baduanjin exercise.In this study,patients’quality of life,gastrointestinal hormone levels,and clinical efficacy in the four groups were observed at baseline and 12 wk after intervention.Meanwhile,the correlation between gastrointestinal hormone levels and various functional areas of quality of life was analyzed.By comparing the observed indicators of patients in the four groups,the efficacy of biofeedback therapy combined with Baduanjin in improving the quality of life and gastrointestinal hormone levels of patients with CRC was explored.RESULTS At baseline,there were no significant differences in quality of life,gastrointestinal hormone levels,or clinical efficacy among the four groups(P>0.05).Twelve weeks after the intervention,the combination group’s quality of life,gastrointestinal hormone levels,and clinical effectiveness were better than those of the three other groups.CONCLUSION On the basis of routine nursing care,patients with CRC combined with biofeedback therapy and Baduanjin exercise can improve the quality of life of patients with CRC and the efficacy of gastrointestinal hormone levels.

The effect of baduanjin exercise in rehabilitation for functional ankle instability:A study protocol for a randomized controlled pilot trial

Introduction:Patients with functional ankle instability(FAI)have problems with joint control,balance,gait,and postural symmetry.Baduanjin is a type of traditional Chinese exercise that has been shown to be effective in treating many diseases and symptoms.However,to date,the effect of Baduanjin in patients with FAI has not been proved.This pilot trial is an assessor-blinded randomized controlled trial,and its objective is to study the efficacy and safety of Baduanjin on the rehabilitation of patients with FAI.Methods:Seventy-two participants,who are eligible according to specified inclusion and exclusion criteria,will be randomized(in a 1:1 ratio),using a random number table,into two groups:a Baduanjin group and a conventional treatment group.The Baduanjin group will be subjected to the Baduanjin exercise in addition to the conventional treatment therapy.Participants’exercise programs will be implemented for 4 weeks(5 days a week).All participants will be assessed at baseline,and after two and 4 weeks of treatment.The surface electromyography results of the bilateral erector spinae,tibialis anterior,and peroneus longus will be the primary outcomes,while the balance function under different conditions and the level of FAI in daily life measured using the Cumberland Ankle Instability Tool will be the secondary outcomes.Ethics and Dissemination:The trial has been approved by the Research Ethical Committee of Dongzhimen Hospital,the First Affiliated Hospital of Beijing University of Chinese Medicine(no.DZMEC-KY-2019-18),and it will follow the principles of the Consolidated Standards of Reporting Trials statements as well as the Declaration of Helsinki.The findings of this study will be submitted for publication in peer-reviewed journals.The results will also be disseminated to the participants via phone calls or e-mail.

Effect of Baduanjin on rehabilitation of patients with coronary heart disease:A meta-analysis of 8 randomized controlled trials

Backgroud:As one of the traditional rehabilitation exercises recommended by the State Sports General Administration,Baduanjin is widely used in the prevention and treatment of coronary heart disease.To systematically evaluate the impact of Baduanjin exercise on rehabilitation of patients with coronary heart disease.A search in Cochrane Library,PubMed,EMbase,Web of science,China Biology Medicine disc(CBM),CNKI,Wan Fang Date and VIP database was performed in order to collect randomized controlled trials(RCTs)of Baduanjin in patients with coronary heart disease from inception to November 2018.Two reviewers independently screened literatures,extracted data and assessed risk of bias of included studies,then,meta-analysis was performed by using RevMan 5.3.Results:A total of 8 RCTs including 615 patients were considered.Compared with the control regime,Baduanjin improved the ejection fraction of patients[MD=2.99,95%CI(1.54,4.45),P<0.001],increased the walking distance of six minutes[SMD=2.29,95%CI(0.44,4.13),P=0.02],decreased the score of self-rating anxiety scale and self-rating depression scale[MD=-5.06,95%CI(-6.63,-3.49),P<0.001],[MD=-5.12,95%CI(-8.73,-1.50),P=0.006].Conclusion:The current research results showed that Baduanjin improved cardiopulmonary function and exercise tolerance and alleviated patients’bad mood.

The efficacy of Baduanjin combined rehabilitation therapy on stroke patients:A Meta-analysis

Objective:To determine the effect of Baduanjin combined rehabilitation therapy on stroke patients through systematic review and Meta-analysis.Method:computer retrieval Embase and PubMed,Cochrane Library,Clonal,MBJ Journals,CNKI,Web of Science,China resources pool,Weipu Chinese science and technology journal(VIP),service system of Chinese biomedical literature database(CBM),a database of ten thousand Chinese and English in about Baduanjin to the rehabilitation effect of patients with cerebral apoplexy randomized controlled experiment(RCT),are built from library retrieval time until 31 December 2020.Two researchers independently screened the literature,extracted the data,and evaluated the risk of bias in the included studies.RevMan5.3 software and Pedro scale were used to conduct literature quality evaluation and statistical analysis of the study data.For indicators with significant heterogeneity,the heterogeneity was reduced by excluding some literature deviating from the forest map,and then the pooled analysis was performed.Meanwhile,funnel plots were drawn to analyze the publication bias of the included studies.Results:(1)A total of 114 literatures were obtained,and 27 studies,including 23 Chinese literatures and 4 English literatures,with a total of 2526 patients,were obtained after eliminating duplicates and those failing to meet the inclusion criteria.There were 12 outcome indicators involved.(2)Quality evaluation showed that 23 literatures were grade A,4 literatures were grade B,16 literatures used simple random method,4 literatures used random number table method,and 4 literatures used hidden blind assignment method.No selective reporting was found in all the included literatures.(3)Meta-analysis results show that the daily life activities ability(MD=10.10,95%CI:8.75-11.45,P<0.00001),treatment effectiveness(RR=1.1,95%CI:0.99-1.23,P=0.07),depression(SMD=1.34,95%CI:2.59-0.08,P=0.04),(BBS MD=8.58,95%CI:4.97-12.2,P<0.00001),defecate integral(MD=0.65,95%CI:0.92-0.38,P<0.00001),mental health(SMD=0.34,95%CI:1.6-0.93,P=0.6),a balance(MD=6.09,95%CI:5.76-6.43,P<0.00001),the ability to walk(MD=0.7,95%CI:0.43-0.97,P<0.00001),lower limb FMA(MD=5.69,95%CI:4.66-6.72,P<0.00001),upper limb FMA(MD=3.42,95%CI:1.53-5.3,P<0.00004).SF-36(SMD=0.65,95%CI:0.91-2.21,P=0.41),and BERG(MD=10.43,95%CI:9.02-11.48,P<0.00001),the onset of FMA contrast(MD=4.77,95%CI:3.45-6.1,P<0.00001).Conclusion:Baduanjin movement as a method of auxiliary and security can help stroke patients get the best curative effect,through the evidence-based analysis can be concluded that the Baduanjin combined rehabilitation therapy for cerebral apoplexy patients postoperative balance function,improved degree of depression,integral,defecate daily life activities ability and psychological health are greatly improved,and can significantly improve the quality of life of patients with clinically and promote patients recover.

八段锦对急性心肌梗死1年后射血分数保留型心力衰竭病人心肺功能的影响

目的:探讨急性心肌梗死1年后射血分数保留型心力衰竭病人坚持6个月的八段锦训练能否延缓心脏重构,减慢心功能恶化,并提升病人的运动耐力。方法:选取冠心病急性心肌梗死后1年,心脏彩超测量左室射血分数(LVEF)≥50%,年龄35~75岁的心力衰竭病人。按随机对照原则分为对照组和锻炼组,各27例。对照组采用西医标准药物治疗,锻炼组采用八段锦联合标准药物治疗。两组入院第1周,完成心肺功能、心脏彩超、6min步行距离等指标检测。干预6个月后,再次检测病人心肺功能、心脏彩超、6min步行距离等指标。观察左心房容积指数、LVEF;心肺功能检测公斤峰值摄氧量(peakVO2/kgmax)、无氧阈下代谢当量(AT-METs)和最大代谢当量(METs)及6 min步行距离变化。结果:干预6个月后,对照组peakVO2/kgmax、AT-METs、最大METs较治疗前降低,锻炼组LVEF、peakVO2/kgmax、AT-METs、最大METs较治疗前增高,且锻炼组LVEF、peakVO2/kgmax、AT-METs、最大METs高于对照组,差异均有统计学意义(P<0.01)。干预6个月后,锻炼组6 min步行距离较干预前延长,且锻炼组长于对照组,差异均有统计学意义(P<0.001)。结论:短期八段锦锻炼未显著改善病人左心房心脏重构,可提高心肺功能及运动耐量,有助于提高生活质量。

Effects of Baduanjin(八段锦) Exercise on Knee Osteoarthritis:A One-Year Study

Objectives： Knee osteoarthritis （OA） is a major cause of pain and functional limitation. Short-term Baduanjin （八段锦） exercise had been testified to be beneficial to the disease. This study conducted an initial assessment of the one-year Baduanjin exercise on knee OA. Methods： The recruited patients practiced Baduanjin at the community recreational center. Sessions were held for 30 min five times a week for one year. Knee pain, stiffness, physical disability, general health, knee extensors and flexors strength, and aerobic ability were measured using the Westem Ontario and McMaster Universities Osteoarthritis Index （WOMAC）, the Medical Outcomes Study Short Form-36 （SF-36）, the 6-Minute Walk Test （6-MWT）, and the Isoldnetic Strength of the Knee Extensors and Flexors （ISKEF）. Body mass index （BMI） was also calculated before and after the study period for comparison. Results： Twenty-eight patients signed the informed consent. Six patients withdrew from the trial. Twenty-two patients （29 knees） completed the one-year study. After one-year Baduanjin exercise, WOMAC pain （132.0 ± 69.6 vs. 56.2±67.6, P=0.000）, stiffness （64.7±54.8 vs. 22.3±34.6, P=0.000）, and physical function subscales （386.1± 275.8 vs. 182.0 ±235.7, P=0.003）; SF-36 body pain （45.7 ±20.0 vs. 57.4 ±17.9, P=0.005）, general health （50.5± 20.0 vs. 62.1 ±16.1, P=0.004）, role emotional （64.4±26.1 vs. 73.5±21.3, P=0.047）, and health transition （3.3± 1.0 vs. 2.6±1.0, P=0.008）; BMI （25.0±2.9 vs. 24.4±2.9, P=0.032）; 6-MWT （565.7±94.6 vs. 610.5±66.7, P=0.036）; and ISKEF Peak Torque （the Knee Extensors： 60.5 ±25.5 vs. 76.8 ±31, P=0.000; the Knee Flexors： 29.3±15.9 vs. 37.1 ±15.8, P=0.001） were significantly improved. No adverse effects resulted from the exercise. Conclusions： It suggested that the long-term Baduanjin could be a feasible and safe exercise option for knee OA.

体医融合对慢性心力衰竭患者心功能疗效及安全性评价

目的探讨体医融合对慢性心力衰竭患者心功能的疗效及安全性评价。方法本研究为单中心、单盲、随机对照试验。纳入2023年6月1日至2024年6月1日就诊于三明市中西医结合医院的慢性心力衰竭患者80例作为研究对象,通过随机数字表法将其分为对照组(n=40)和研究组(n=40),对照组予基础治疗,研究组在基础治疗的基础上给予体医融合方案,疗程为12周,对比两组生活质量、运动耐力、心血管健康状况、心脏结构及生化检查。结果治疗后,研究组相较于对照组左心室射血分数(LVEF)、6 min步行距离(6MWD)更高,明尼苏达心衰生活质量量表(MLHFQ)、静息心率(RHR)、左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)、左心房内径(LAD)、主动脉根部内径(AoD)、去甲肾上腺素(NA)、氨基末端脑利钠肽前体(NT-proBNP)更低(均P<0.05)。结论体医融合对慢性心力衰竭患者生活质量、心脏结构、理化指标均有良好的改善作用。

八段锦改善抑郁症状的Meta分析

目的:分析评价八段锦对抑郁症状改善的临床效果,为八段锦功法的运用提供证据支持。方法:检索并收集在国内外数据库公开发表的关于八段锦对抑郁症状改善的临床随机对照试验。经筛选后,使用Cochrane与NoteExpress 3.2来评估文献质量以及进行文献管理。应用RevMan5.4.1软件进行统计分析,根据Q检验即P值的大小,评估文献有无异质性及其大小,从而使用固定或随机效应模型,然后计算OR值,在此基础上并绘制森林图。结果:共纳入8项RCTs。结果显示,与对照组相比,试验组行八段锦功法治疗能降低SDS、SAS与HAMD评分水平。结论:现有证据表明,八段锦功法对抑郁症状的改善效果明显,可有效减轻患者的抑郁程度,改善焦虑症状,为抑郁症患者提供更广泛的选择可能。

Emotion Regulation Effect of Baduanjin on College Students:A Pilot Event-Related Potential Study on Late Positive Potential

Objective:This study aimed to investigate the emotion regulation effect of Baduanjin Qigong on college students.Methods:The late positive potential(LPP)components were recorded while performing emotional pictures from 12 college students with Baduanjin Qigong experience and 12 with no experience of any mind–body exercises.Results:Under positive emotional stimuli,greater LPP amplitudes were observed in the experimental group in the frontal,central,and temporal areas than in the control group.Under negative emotional stimuli,greater LPP amplitudes were found in the experimental group in the prefrontal area and smaller amplitudes in the occipital area than in the control group.Conclusion:The results reveal the emotion regulation effect on the event-related potential of Baduanjin Qigong to college students.The findings suggest that the regulatory effect of Baduanjin Qigong on emotional stimulation may be a possible reason for reducing the symptoms of depression and anxiety.

Baduanjin exercise improved premenstrual syndrome symptoms in Macao women

OBJECTIVE: To investigate the effect of Baduanjin,a traditional Chinese medical exercise, on improving premenstrual syndrome(PMS) symptoms in women.METHODS: Forty reproductive age women with PMS in Macao practiced standardized Baduanjin exercise for three menstrual cycles. A questionnaire,the daily record of severity of problems(DRSP), was used to measure symptom severity. DRSP was filled out every days tarting from the last cycle before exercise(i.e., the first menstrual cycle) to the third cycle after exercise initiation(i.e., the fourth menstrual cycle). The total scores and the scores of each item during the 5 premenstrual days and follicular phase(5-9 postmenstrual days)were calculated.RESULTS: After exercise, the total DRSP scores dur-ing the 5 premenstrual days and differences in the total DRSP scores between the 5 premenstrual days and the follicular phase were both significantly reduced. Of note, the physical symptom total scores in the 5 premenstrual days and the differences between its total score in the 5 premenstrual days and in the follicular phase were both significantly reduced. The differences between the total scores of depressed mood, anxious mood, loss of interest,and reduction in social activity during the 5 premenstrual days and the follicular phase were also reduced.CONCLUSION: Baduanjin exercise was able to improve the mental and especially the physical symptoms of PMS.

短期八段锦运动与核心稳定训练对脑卒中恢复期病人平衡功能的影响

目的:观察短期八段锦运动与核心稳定训练对脑卒中恢复期病人平衡功能的影响。方法:本研究为非同期对照研究,采用便利抽样法,选取2021年1月—2021年11月在我院就诊的62例脑卒中恢复期病人作为对照组,另选取2022年1月—2022年12月我院收治的63例病人作为干预组。所有病人均给予基础干预,对照组给予核心稳定训练,观察组给予短期八段锦运动,两组均干预4周,每周5次。比较两组干预前后综合平衡功能[Berg平衡量表(BBS)]、动态平衡功能[Tinetti步态评估量表(TGA)]、静态平衡功能[重心轨迹外周面积(PACGT)及长度(TLCGT)]及跌倒效能[修订版跌倒效能量表(MFES)]。结果:两组干预后BBS评分、TGA评分、MFES评分高于干预前,且干预组高于对照组,差异均有统计学意义(P<0.05)。两组干预后闭眼、睁眼状态下PACGT、TLCGT低于干预前(P<0.05),但两组干预后比较差异无统计学意义(P>0.05)。结论:相较于核心稳定训练,短期八段锦运动可改善脑卒中恢复期病人平衡功能,降低因惧怕跌倒而产生对康复运动的恐惧感,具有改善生理功能与心理情绪的双重作用。

MBSR配合坐式八段锦在肝癌患者射频消融术后康复护理中的应用研究

目的探讨正念减压疗法(MBSR)配合坐式八段锦在肝癌患者射频消融术后康复护理中的应用研究。方法将2023年1月至2024年7月天津市环湖医院收治的74例肝癌射频消融术患者按照随机数字表分为两组,每组37例,对照组术后给予常规心理干预及康复护理,研究组术后在此基础上予以MBSR配合坐式八段锦干预,两组均干预4周。比较两组癌症复发恐惧、应对方式、癌因性疲乏及生存质量水平。结果干预后,研究组的恐惧疾病进展简化量表(FoP-Q-SF)评分为(30.97±4.25)分,低于对照组的(34.35±4.41)分(P<0.05);研究组的积极评分为(32.43±3.54)分,高于对照组的(28.68±3.81)分,消极应对评分为(9.41±1.15)分,低于对照组的(11.35±1.22)分(P<0.05);研究组的躯体、情感及认知疲乏评分分别为(15.57±1.38)分、(7.38±1.42)分、(7.30±1.27)分,低于对照组的(17.73±1.85)分、(9.27±1.66)分、(9.22±1.31)分(P<0.05);研究组的肝胆肿瘤治疗功能评定量表(FACT-Hep)评分为(148.53±14.23)分,高于对照组的(136.72±15.32)分(P<0.05)。结论MBSR配合坐式八段锦能够降低肝癌患者射频消融术后癌症复发恐惧,改善其应对方式,减轻疲乏症状,提高术后生存质量。

八段锦联合放松功对轻中度抑郁的影响研究

【目的】探究中医行为心理疗法八段锦联合放松功干预轻中度抑郁的效果。【方法】将40例轻中度抑郁患者随机分为干预组和对照组,每组各20例。干预组给予八段锦锻炼联合放松功干预治疗,对照组给予西药氢溴酸西酞普兰片治疗,疗程为6周。观察2组患者干预前后汉密尔顿抑郁量表(HAMD)评分、蒙哥马利抑郁量表(MADRS)评分、匹兹堡睡眠质量指数(PSQI)评分以及生活质量综合评定问卷(GQOL-74)评分的变化情况,并评价2组患者的抑郁改善疗效。【结果】(1)抑郁改善疗效方面,治疗6周后,干预组的总有效率为95.0%(19/20),对照组为90.0%(18/20),组间比较(χ2检验),差异无统计学意义(P>0.05)。(2)抑郁程度方面,治疗后,2组患者的HAMD评分和MADRS评分均较治疗前明显下降(P<0.01),但治疗后组间比较,差异均无统计学意义(P>0.05)。(3)生活质量方面,治疗后,2组患者的GQOL-74的躯体功能、心理功能、社会功能、物质生活等各项评分及总分均较治疗前明显改善(P<0.01),但治疗后组间比较,差异均无统计学意义(P>0.05)。(4)睡眠质量方面,治疗后,2组患者的PSQI的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物和日间功能等各项评分及总分均较治疗前明显改善(P<0.01),且干预组对PSQI的睡眠质量、入睡时间评分及总分的改善作用明显优于对照组(P<0.05)。【结论】八段锦锻炼联合放松功干预对轻中度抑郁症状的改善有明确的疗效,可以为轻中度抑郁症患者提供更广泛的选择可能,特别是对西药治疗不耐受的患者更具有一定的优势。

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

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。

中医康复护理对脑卒中偏瘫患者肢体功能及生活质量的影响

目的观察中医康复护理对脑卒中偏瘫患者肢体功能及生活质量的影响。方法选取108例脑卒中偏瘫患者,按照住院时间分成对照组和观察组各54例;对照组实施常规康复训练,观察组在此基础上结合中医特色护理康复,包括坐式八段锦、中药热敷、按摩等。结果干预3个月后,两组肢体运动功能评分、生活质量评分比较,差异有统计学意义(均P<0.05)。结论对脑卒中偏瘫患者实施中医特色康复护理,可促进患者肢体功能康复,提高生活质量。