针灸联合八段锦对冠心病心力衰竭患者运动康复及生活质量的影响OA
Effect of Acupuncture Combined with Baduanjin on Exercise Rehabilitation and Quality of Life in Patients with Coronary Heart Disease and Heart Failure
目的:探讨针灸联合八段锦对冠状动脉粥样硬化性心脏病[简称冠心病(coronary heart disease,CHD)]心力衰竭患者运动康复及生活质量的影响.方法:选择 2020 年 10 月—2022 年 3 月广州医科大学附属中医医院心病科收治的 60 例CHD心力衰竭患者作为研究对象,应用随机对照法将患者分为治疗组与常规组,各 30 例.常规组给予常规治疗,治疗组接受针灸联合八段锦治疗.比较两组运动康复情况、生活质量及焦虑心理、心脏功能、临床疗效.结果:治疗 4 周,治疗组总运动时间、最大代谢当量高于常规组,差异有统计学意义(P<0.05).治疗 2 周、4 周,两组明尼苏达心力衰竭生活质量量表(Minnesota living with heart failure questionnaire,MLHFQ)评分高于治疗前,汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分低于治疗前,且治疗组MLHFQ高于常规组,HAMA评分低于常规组,差异有统计学意义(P<0.05).治疗4周,两组左心室射血分数(left ventricular ejection fraction,LVEF)、舒张晚期血流峰值(peak A,A)/二尖瓣舒张早期血流峰值(peak E,E)高于治疗前,左室收缩末期容积(left ventricular end systolic volume,LVESV)低于治疗前,且治疗组LVEF、E/A高于常规组,LVESV低于常规组,差异有统计学意义(P<0.05).治疗组临床总有效率高于常规组,差异有统计学意义(P<0.05).结论:针灸联合八段锦治疗CHD心力衰竭能改善患者运动能力,提升生活质量、心脏功能及临床效果,改善焦虑状态.
Objective:To explore the effect of acupuncture combined with Baduanjin on exercise rehabilitation and quality of life in patients with coronary atherosclerotic heart disease[referred to as coronary heart disease(CHD)]and heart failure.Method:From October 2020 to March 2022,60 CHD heart failure patients in the Department of Cardiology of the Affiliated Traditional Chinese Medicine Hospital of Guangzhou Medical University were selected.They were randomly divided into treatment group and conventional group,with 30 cases in each group.The conventional group received routine treatment,and the treatment group received acupuncture combined with Baduanjin.The exercise rehabilitation,quality of life,anxiety,cardiac function,and clinical efficacy between the two groups were compared.Result:At 4 weeks of treatment,the total exercise time and maximum metabolic equivalent in the treatment group were higher than those in the conventional group,and the differences were statistically significant(P<0.05).At 2 weeks and 4 weeks of treatment,the Minnesota living with heart failure questionnaire(MLHFQ)scores of two groups were higher than those before treatment,and the Hamilton anxiety scale(HAMA)scores were lower than those before treatment,the MLHFQ scores of the treatment group were higher than those of the conventional group,and the HAMA scores were lower than those of the conventional group,the differences were statistically significant(P<0.05).At 4 weeks of treatment,the left ventricular ejection fraction(LVEF)and peak late diastolic blood flow(peak A,A)/peak early diastolic blood flow(peak E,E)of two groups were higher than those before treatment,and the left ventricular end systolic volume(LVESV)was lower than that before treatment,the LVEF and E/A of the treatment group were higher than those of the conventional group,and the LVESV was lower than that of the conventional group,the differences were statistically significant(P<0.05).The total clinical effective rate of the treatment group was higher than that of the conventional group,the difference was statistically significant(P<0.05).Conclusion:Acupuncture combined with Baduanjin in the treatment of CHD with heart failure can improve the patients'exercise capacity,improve the quality of life,cardiac function and clinical efficacy,and improve anxiety.
刘昕;黎明华
广州医科大学附属中医医院 广东 广州 510145
针灸八段锦冠心病心力衰竭运动能力生活质量
AcupunctureBaduanjinCoronary heart diseaseHeart failureSports abilityQuality of life
《中外医学研究》 2024 (004)
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广州市中医药和中西医结合科技项目(20212A010007)
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