太极拳对老年心肌梗死后心力衰竭患者心脏功能的效果

doi:10.3969/j.issn.1006-9771.2020.08.018

Abstract

Abstract:

Objective To explore the effect of Tai Ji Quan in the progress of rehabilitation training for elderly patients with heart failure after myocardial infarction.Methods From January, 2017 to June, 2019, a total of 200 elderly patients with heart failure after myocardial infarction were divided into control group (n = 100) and experimental group (n = 100). The control group received routine medicine, and the experimental group received Tai Ji Quan exercise in addition. After 24-week treatment, their cardiac functional grading, plasma levels of brain natriuretic peptide (BNP) and aldosterone (ALD), six minutes walking distance (6MWD), left ventricular ejection fractions (LVEF), quality of life, and readmission rate and mortality rate were compared. Results After treatment, the cardiac function was better in the experimental group than in the control group (χ ² > 5.143, P < 0.05); the plasma levels of BNP and ALD, 6MWD, LVEF and quality of life significantly improved (| t| > 9.883, P < 0.001), and were better in the experimental group than in the control group (| t| > 4.023, P < 0.001). The readmission rate and mortality rate were lower in the experimental group than in the control group, but no significant difference was found ( P > 0.05). Conclusion Tai Ji Quan exercise could improve the cardiac function, exercise tolerance and quality of life of the elderly patients with heart failure after myocardial infarction.

Key words: myocardial infarction, cardiac rehabilitation, Tai Ji Quan, quality of life

CLC Number:

R541.6

YU Man-li,JIANG Heng,LI Bin,CHAI Li-li,SHEN Hui,SHI Feng,XIE Dong-feng,LIN Xing-zhong. Application of Tai Ji Quan Exercise in Heart Rehabilitation for Elderly Patients with Heart Failure after Myocardial Infarction[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(8): 969-974.

Figures/Tables 8

References 21

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项目	对照组(n = 100)	试验组 (n = 100)	χ²/t值	P值
年龄(岁)	68.3±6.4	67.7±5.8	0.799	0.425
性别(男/女,n)	54/46	52/48	0.080	0.777
受教育水平(大专以上/大专以下,n)	32/68	29/71	0.212	0.645
体质量指数(kg/m²)	25.7±2.6	25.5±2.7	0.560	0.576
心功能NYHA分级(Ⅱ/Ⅲ,n)	42/58	45/55	0.183	0.669
LVEF(%)	46.5±4.5	46.4±3.2	0.199	0.843

组别	n	显效	有效	无效	恶化
对照组	94	2	52	32	8
试验组	97	8	69	18	2
χ²值		2.476	5.143	5.924	2.807
P值		0.116	0.023	0.015	0.094

组别	治疗前		治疗后		t值	P值
组别	n	BNP	n	BNP	t值	P值
对照组	100	460.3±36.8	94	312.7±34.5	30.144	< 0.001
试验组	100	462.7±35.8	97	259.3±10.6	71.440	< 0.001
t值		-0.467		14.349
P值		0.641		< 0.001

组别	治疗前		治疗后		t值	P值
组别	n	ALD	n	ALD	t值	P值
对照组	100	154.8±10.5	94	115.5±12.5	29.603	< 0.001
试验组	100	154.9±11.4	97	80.7±10.4	49.620	< 0.001
t值		-0.039		21.051
P值		0.969		< 0.001

组别	治疗前		治疗后		t值	P值
组别	n	6MWD	n	6MWD	t值	P值
对照组	100	184.2±36.6	94	286.7±34.9	-42.675	< 0.001
试验组	100	182.7±39.3	97	350.9±41.0	-40.353	< 0.001
t值		0.293		-11.462
P值		0.770		< 0.001

Application of Tai Ji Quan Exercise in Heart Rehabilitation for Elderly Patients with Heart Failure after Myocardial Infarction

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组别	治疗前		治疗后		t值	P值
组别	n	LVEF	n	LVEF	t值	P值
对照组	100	46.5±4.5	94	50.6±5.4	-9.883	< 0.001
试验组	100	46.4±3.2	97	54.2±6.7	-12.185	< 0.001
t值		0.199		-4.023
P值		0.843		< 0.001

组别	治疗前		治疗后		t值	P值
组别	n	评分	n	评分	t值	P值
对照组	100	80.6±10.4	94	68.5±12.5	10.547	< 0.001
试验组	100	80.5±9.5	97	54.8±10.3	18.951	< 0.001
t值		0.078		8.287
P值		0.938		< 0.001

组别	n	死亡	再住院
对照组	100	6(6)	21(21)
试验组	100	3(3)	11(11)
χ²值		0.465	3.720
P值		0.495	0.054

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