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 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.

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.

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

背景:八段锦作为国家体育总局推荐的传统康复运动之一,被广泛应用于冠心病的防治中。为了系统地评价八段锦对冠心病患者康复的影响,计算机检索The Cochrane Library、PubMed、EMbase、Web of science、CBM、CNKI、万方数据库和维普数据库,搜集八段锦应用于冠心病患者的随机对照试验,检索时限均为建库至2018年11月份。由2位评价员独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan5.3进行Meta分析。结果:纳入8个随机对照实验,共615例患者。相比对照组,八段锦可提高患者的射血分数[MD=2.99,95%CI(1.54,4.45),P<0.001],增加六分钟步行距离[SMD=2.29,95%CI(0.44,4.13),P=0.02],焦虑自评量表、抑郁自评量表评分降低[MD=-5.06,95%CI(-6.63,-3.49),P<0.001]、[MD=-5.12,95%CI(-8.73,-1.50)P=0.006]。结论:当前研究结果显示,八段锦能改善患者心肺功能、提高患者运动耐量、缓解患者不良情绪。

基于八段锦运动的Ⅱ期心脏康复运动处方对STEMI行PCI术后患者的影响

目的研究基于八段锦运动的Ⅱ期心脏康复运动处方对急性ST段抬高心肌梗死(STEMI)经皮冠状动脉介入术(PCI)后患者心功能、运动耐力及动脉僵硬度的影响。方法选取郑州市第七人民医院2020年2月至2023年2月122例STEMI行PCI术后患者采用随机数字表分组,对照组61例给予常规心脏康复,观察组61例应用基于八段锦运动的Ⅱ期心脏康复运动处方,3个月后,对比两组患者心功能、运动耐力、动脉僵硬度和不良心脏事件。结果观察组干预后,6 min步行距离(6MWD)、左心室射血分数(LVEF)水平分别为(387.69±10.53)m、(61.01±5.44)%,均高于对照组(367.55±9.18)m、(57.45±6.06)%,左心室舒张末期内径(LVEDD)水平为(58.70±0.97)mm低于对照组(59.59±1.05)mm(P<0.05);观察组干预后,踝肱指数(ABI)水平为(0.94±0.09)高于对照组(0.89±0.10),臂踝脉搏波传导速度(baPWV)、颈股脉搏波传导速度(cfPWV)水平分别为(1.75±0.27)m/s、(7.59±0.53)m/s,均低于对照组(1.94±0.35)m/s、(8.01±0.68)m/s(P<0.05);观察组干预后,峰值功率(PP)、运动持续时间(ED)、峰值摄氧量(peak VO2)和无氧阈值(AT)水平分别为(93.01±9.44)W、(449.30±22.87)s、(19.69±3.73)mL/(kg·min)、(14.20±1.86)mL/(kg·min),均高于对照组(83.45±9.06)W、(412.59±23.45)s、(17.55±3.58)mL/(kg·min)、(13.15±2.05)mL/(kg·min)(P<0.05);观察组心脏不良事件发生率3.28%(2/61)低于对照组4.92%(3/61),差异无统计学意义(P>0.05)。结论基于八段锦运动的Ⅱ期心脏康复运动处方对STEMI行PCI术后患者效果显著,能够有效增强患者心功能和运动耐力,降低动脉僵硬度,安全性高。

八段锦对中老年膝骨关节炎患者膝关节及平衡能力影响的效果研究

目的:探讨八段锦对中老年膝骨关节炎患者膝关节及平衡能力的影响。方法:选取2021年1~12月在福建中医药大学附属人民医院门诊就诊的70例中老年KOA患者为研究对象,随机分为干预组和对照组各35例,剔除脱落病例,最终干预组30例,对照组31例完成研究。对照组给予常规治疗,干预组在对照组基础上进行12周的八段锦运动干预,比较两组干预前后VAS评分、5次坐立测试时间、闭眼单脚站立时间、“计时-起立-行走”时间及跌倒效能评分。结果:干预前,两组各指标组间差异无统计学意义(P>0.05),干预12周后,干预组VAS评分、5次坐立测试时间和“计时-起立-行走”时间明显低于对照组(P<0.05);闭眼单脚站立时间和跌倒效能评分明显高于对照组(P<0.05)。结论:八段锦运动可有效减轻中老年KOA患者的膝关节疼痛,提高其动、静态平衡能力及跌倒效能水平,对提高患者下肢肌力也有积极作用,是一种相对安全的运动疗法。

坐式八段锦在Standford B型主动脉夹层患者术后快速康复中的应用效果

目的探讨坐式八段锦在Standford B型主动脉夹层(TBAD)患者术后快速康复中的效果。方法选取2021年1月至2022年12月南昌大学第二附属医院收治的50例TBAD患者作为研究对象,按照随机数字表法分为观察组(25例)与对照组(25例),对照组采用常规康复运动方案,观察组采用常规康复运动方案联合坐式八段锦,比较两组的疼痛程度、日常生活活动能力量表(ADL)、运动耐力及护理满意度。结果两组出院时疼痛评分均低于本组干预前,且观察组低于对照组,差异有统计学意义(P<0.05);出院1个月,两组的ADL评分高于本组干预前,6 min步行距离(6MWT)长于本组干预前,且观察组的ADL评分高于对照组,6MWT长于对照组,差异有统计学意义(P<0.05);观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论TBAD患者术后采用坐式八段锦可有效减轻疼痛程度,改善患者的日常生活活动能力,提高运动耐力及护理满意度。

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。

基于动而生阳理论的八段锦运动训练对老年恶性肿瘤患者化疗期衰弱水平、抑郁状况及炎症介质的影响

目的:探讨基于动而生阳理论制定的八段锦运动训练对老年恶性肿瘤患者化疗期衰弱水平、抑郁状况及炎症介质的影响。方法:采用便利抽样法,选取广东省某三甲医院肿瘤科2022年1月至12月收治的81位老年恶性肿瘤化疗患者为研究对象,并采用随机数字法,将81名老年恶性肿瘤化疗患者简单随机分成两组,其中对照组41例和干预组40例,对照组维持既往的日常活动状态,干预组在对照组基础上进行12周的八段锦集中训练。研究人员分别在八段锦运动干预前、干预第六周强化练习结束后、干预第十二周强化练习结束后比较干预两组患者衰弱水平(FP)及抑郁状况(SDS评分),炎症介质(C反应蛋白)的变化。结果:共纳入81例患者。在进行八段锦6周运动干预后,干预组与对照组两组患者衰弱水平差异无统计学意义(P>0.05),但在12周八段锦运动训练后,干预组衰弱水平显著下降,两组衰弱水平差异有统计学意义(P<0.05);干预组患者在6周和12周八段锦运动训练中,其抑郁状况持续下降,与对照组差异抑郁状况均有统计学意义(P<0.05);干预组患者炎症介质水平在八段锦运动训练第6周和第12周运动干预后,其炎症介质水平与对照组相比均较低,差异均有统计学意义(P<0.05)。结论:八段锦对于老年恶性肿瘤患者化疗期衰弱水平、抑郁状况、炎症指标水平均有所改善,可在老年恶性肿瘤患者化疗期进行推广习练。

精细化护理联合八段锦对食管癌术后患者生活质量的影响

目的讨论分析精细化护理联合八段锦对食管癌术后患者生活质量的影响。方法采用便利抽样法选取2022年5月至2023年5月华中科技大学同济医学院附属同济医院收治的食管癌术后患者92例为研究对象,采用随机数字表法分为对照组和干预组,各46例,对照组给予食管癌术后常规护理,干预组予以食管癌术后精细化护理联合八段锦,对比两组患者干预前后的洼田饮水试验评定、营养指标评估、生活质量量表(EORTC QLQ-C30)评分、匹兹堡睡眠质量指数(PSQI)评分。结果干预20 d后,干预组洼田饮水试验等级结果优于对照组(P<0.05);干预组吞咽功能障碍疗效总有效率高于对照组(95.66%vs.76.09%,P<0.05);两组患者体重指数、血前清蛋白和白蛋白均升高,且干预组均高于对照组(P<0.05);两组患者QLQ-C30评分中躯体功能、认知功能、角色功能、社会功能、情绪功能评分及总分均升高,且干预组均高于对照组(P<0.05);两组患者PSQI评分均下降,且干预组低于对照组(P<0.05)。结论以精细化护理联合八段锦对食管癌术后患者进行护理干预,可改善其睡眠质量,有效地提高吞咽功能、营养指标和生活质量。

坐式八段锦联合踝泵运动对肺栓塞患者血栓相关指标与心肺功能指标的影响

目的:分析坐式八段锦联合踝泵运动干预对肺栓塞患者血栓相关指标、心肺功能的影响。方法:选择2021年3月—2023年3月在钦州市第二人民医院诊疗的144例肺栓塞患者作为研究对象,根据随机数表法将其分为对照组和观察组,各72例。两组均接受对症治疗,在此基础上对照组给予踝泵运动干预,观察组给予踝泵运动联合坐式八段锦干预。对比两组干预前及干预2个月后的血流动力学指标(血流峰速度、血流平均速度、血流量)、心肺功能[血高迁移率族蛋白-1(HMGB-1)、心肌肌钙蛋白I(cTnI)、第1秒用力呼气容积(FEV_(1))、第1秒用力呼气量占用力肺活量比值(FEV_(1)/FVC%)]水平。结果:干预后,两组血流峰速度、血流平均速度、血流量水平均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组HMGB-1、cTnI水平低于干预前,FEV_(1)、FEV_(1)/FVC%水平高于干预前,且观察组HMGB-1、cTnI水平低于对照组,FEV_(1)、FEV_(1)/FVC%水平高于对照组,差异有统计学意义(P<0.05)。结论:肺栓塞患者采用坐式八段锦联合踝泵运动干预可改善其血流动力学水平,提高心肺功能。

散结消斑方联合八段锦治疗痰瘀互结型颈动脉易损斑块临床研究

目的:评价散结消斑方联合八段锦治疗痰瘀互结型颈动脉易损斑块临床价值。方法:将颈动脉易损斑块(痰瘀互结型)患者80例,随机分为治疗组(40例)及对照组(40例)。对照组患者予以西医规范化的抗血小板聚集及降脂稳定斑块治疗,治疗组在对照组基础治疗上加用散结消斑方联合八段锦。对比经过治疗后两组患者颈动脉斑块IMT的变化、斑块总数总斑块面积、Crouse积分及血清学指标。结果:治疗后两组患者颈动脉斑块IMT的变化、斑块总数总斑块面积、Crouse积分、双侧颈动脉中治疗前后最大斑块厚度及面积、总胆固醇、甘油三脂、低密度脂蛋白胆固醇均较治疗前显著降低(P<0.05),高密度脂蛋白胆固醇水平与上升时间值均较治疗前显著升高(P<0.05)。治疗后治疗组颈动脉斑块IMT的变化、斑块总数总斑块面积及Crouse积分、双侧颈动脉中治疗前后最大斑块厚度及面积、总胆固醇、甘油三脂、低密度脂蛋白胆固醇均与对照组比较明显降低(P<0.05),对比于对照组治疗后水平与上升时间值有了明显的升高,经过对于差异比较,均具有统计学意义(P<0.05)。结论:散结消斑方联合八段锦可有效减少痰瘀互结型患者的易损型斑块数目及面积、稳定颈动脉易损斑块、抑制颈动脉粥样硬化斑块进展,值得临床推广。

八段锦调节肠道菌群对帕金森病抑郁和便秘症状的治疗思路探讨

帕金森病抑郁和便秘是疾病发展前期和前驱期的典型症状,严重影响患者生活质量和疾病发展进程。八段锦作为中医传统功法,具有调身、调心和调息相统一的作用,对治疗帕金森病抑郁和便秘具有积极疗效。肠道菌群功能改变以神经-内分泌-免疫系统为通路介导帕金森病抑郁和便秘症状的形成,八段锦则对调节有益肠道菌群丰度具有积极影响。因此,帕金森病抑郁和便秘症状、八段锦和肠道菌群三者密切相关,八段锦可以通过调节肠道菌群治疗帕金森病抑郁和便秘,但相关通路和作用机制仍不明确,需要开展更深入的研究为治疗帕金森病抑郁和便秘症状提供新的治疗思路。

中国传统功法治疗膝骨关节炎的网状Meta分析

目的:采用网状Meta分析法评价中国传统功法(CTE)治疗膝骨关节炎(KOA)的效果。方法:检索PubMed、Web of Science、Embase、Cochrane Library、国家知识基础设施数据库(CNKI)、中文科技期刊数据库(CCD)中国学术期刊数据库(CSPD)和中国生物医学文献数据库(SinoMed)中发表的CTE治疗KOA的随机对照试验(Randomized Controlled Trials,RCT),检索时间截至2022年8月。结局指标包括骨关节炎指数(WOMAC)、VAS。用Cochrane偏倚风险评估工具ROB2对纳入文献进行偏倚风险评估。用Revman5.4对文献进行质量评价,制作文献风险偏倚图;用Stata16.0进行Meta分析,当结局指标纳入文献数量≥10,绘制“比较-校正”漏斗图并进行egger检验,确定发表偏倚和小样本效应。结果:共纳入13篇文献,包括5种CTE:太极、易筋经、八段锦、五禽戏、站桩功。结果显示纳入文献整体质量较高。网状Meta分析结果显示:在缓解僵硬和疼痛方面,五禽戏效果最好;在改善功能活动方面,易筋经效果最好。在缓解僵硬方面:与太极拳相比,五禽戏的效果更好(MD=-64.69,95%CI为-107.07~-22.31,P<0.05),五禽戏的效果最好。纳入文献均未报道CTE的安全性。结论:基于现有证据,CTE治疗KOA的效果优于传统康复训练,其中五禽戏和易筋经的效果优于其他CTE。