| 周 娜,廖若夷,郭 元,刘 彬,唐 燕.抗阻训练联合八段锦对慢性心力衰竭患者心功能、生活质量和不良心脏事件的影响[J].,2022,(5):891-894 |
| 抗阻训练联合八段锦对慢性心力衰竭患者心功能、生活质量和不良心脏事件的影响 |
| Effects of Resistance Training Combined with Baduanjin on Cardiac Function, Quality of Life and Adverse Cardiac Events in Patients with Chronic Heart Failure |
| 投稿时间：2021-07-23 修订日期：2021-08-18 |
| DOI：10.13241/j.cnki.pmb.2022.05.019 |
| 中文关键词: 抗阻训练 八段锦 慢性心力衰竭 心功能 生活质量 不良心脏事件 |
| 英文关键词: Resistance training Baduanjin Chronic heart failure Cardiac function Quality of life Adverse cardiac events |
| 基金项目:湖南省科技厅创新引导项目（2020SK51404）；湖南省中医药管理局重点项目（2021004） |
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| 中文摘要: |
| 摘要 目的：观察抗阻训练联合八段锦对慢性心力衰竭（CHF）患者心功能、生活质量和不良心脏事件的影响。方法：纳入2019年6月~2020年7月期间湖南中医药大学第一附属医院心血管内科收治的120例CHF患者，按随机数表法分为对照组、研究组各60例。两组均采取常规抗心衰治疗，在此基础上，对照组接受抗阻训练，研究组接受抗阻训练联合八段锦训练，两组均干预6个月。对比两组疗效以及干预前、干预6个月后的心功能、生活质量，记录随访期间不良心脏事件发生情况。结果：研究组的临床总有效率高于对照组（P<0.05）。干预6个月后，研究组左室收缩末期内径（LVESD）、左室舒张末期内径（LVEDD）小于对照组，左心室射血分数（LVEF）大于对照组（P<0.05）。干预6个月后，研究组SF-36各维度（躯体健康、心理健康、总体健康、情绪功能、躯体功能、社会功能、躯体疼痛、精力）评分高于对照组（P<0.05）。研究组的不良心脏事件发生率低于对照组（P<0.05）。结论：抗阻训练联合八段锦可有效改善CHF患者心功能，提高其生活质量，并降低不良心脏事件发生率。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the effects of resistance training combined with Baduanjin on cardiac function, quality of life and adverse cardiac events in patients with chronic heart failure (CHF). Methods: 120 patients with CHF who were treated d in Internal Medicine-Cardiovascular Department of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine from June 2019 to July 2020 were included, they were randomly divided into control group and study group by random number table method, with 60 cases in each group. Both groups were treated with routine anti heart failure treatment, on this basis, the control group received resistance training, and the study group received resistance training combined with Baduanjin. Both groups were intervened for 6 months. The curative effects, cardiac function and quality of life of the two groups before and 6 months after intervention were compared, and the occurrence of adverse cardiac events during follow-up were recorded. Results: The total clinical effective rate of the study group was higher than that of the control group (P<0.05). 6 months after intervention, the left ventricular end systolic diameter (LVESD) and left ventricular end diastolic diameter (LVEDD) of the study group were smaller than those of the control group, and the left ventricular ejection fraction(LVEF) was larger than that of the control group(P<0.05). 6 months after intervention, the score of SF-36 all dimensions (physical health, mental health, general health, emotional function, physical function, social function, physical pain, energy) of the study group was larger than that in the control group(P<0.05). The incidence of adverse cardiac events of the study group was lower than that of the control group(P<0.05). Conclusion: Resistance training combined with Baduanjin can effectively improve the cardiac function, improve the quality of life and reduce the incidence of adverse cardiac events in patients with CHF. |
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