八段锦对冠心病患者心脏康复过程心肺功能的影响

摘要

Objective To observe effect of Ba Duan Jin on cardiopulmonary function of patients with coronary heart disease ( CHD) during cardiac rehabilitation. Methods A total of 64 CHD patients with stable angina pectoris were divided into control group and observation group according to different rehabilitation methods ( n =32 for each group) . Control group received routine treatment for cardiac rehabilitation, while observation group was added with Ba Duan Jin exercise ( gymnastic qigong) on the basis of routine treatment for cardiac rehabilitation. The time of intervention treatment for cardiac rehabilitation was 12 weeks, and cardiac ultrasound examination and cardiopulmonary exercise tes-ting were performed before and after intervention in two groups. Results After intervention for 12 weeks, values of stroke volume ( SV) , left ventricular ejection fraction ( EF ) and cardiac index ( CI ) were significantly higher ( P <0. 05) , while there was no significant difference in heart rate ( HR) than those before intervention in two groups ( P>0. 05). After intervention for 12 weeks, EF and CI values were significantly higher (P<0. 05), while there were no sig-nificant differences in HR and SV in observation group compared with those in control group (P>0. 05). After interven-tion for 12 weeks, values of peak sports level, peak heart rate ( HRpeak) , peak metabolic equivalents ( Metspeak) and peak oxygen pulse were significantly higher than before intervention in two groups (P<0. 05);HRpeak, Metspeak and peak oxygen pulse values were significantly higher ( P<0. 05 ) , while there was no significant difference in peak sports level in observation group compared with those in control group ( P>0. 05 ) . Conclusion Ba Duan Jin combined with cardiac rehabilitation can more effectively improve cardiopulmonary function, recover health and improve the quality of life.%目的 观察八段锦参与心脏康复过程对冠心病患者心肺功能的影响.方法 将64例冠心病稳定型心绞痛按康复方法不同分为对照组和观察组,每组32例,对照组接受常规心脏康复治疗,观察组在对照组基础上,进行健身气功八段锦锻炼,进行12周心脏康复干预,康复干预前后进行心脏彩超检查和运动心肺功能测定.结果 两组康复12周后两组每搏输出量(SV)、左室射血分数(EF)、心指数(CI)均显著高于康复前(P<0.05),心率(HR)与康复前比较差异无统计学意义(P>0.05);康复12周后观察组EF、CI均高于对照组(P<0.05),而HR、SV比较差异无统计学意义(P>0.05).两组康复12周后,峰值运动等级、峰值心率(HRpeak)、峰值代谢当量(METspeak)、峰值氧脉搏均显著高于康复前(P<0.05);康复12周后观察组HRpeak、METspeak、峰值氧脉搏均高于对照组(P<0.05),而两组峰值运动等级差异无统计学意义(P>0.05).结论 八段锦结合心脏康复可以更有效的改善心肺功能、恢复健康,提高生活质量.