| 丁胜华,陈杰,刘晓羽,等.太极拳联合抗阻运动在慢性心力衰竭患者心脏康复中的应用效果[J].中国临床保健杂志,2025,28(3):311-315. |
| 太极拳联合抗阻运动在慢性心力衰竭患者心脏康复中的应用效果 |
| Application effect of Taijiquan combined with resistance exercise in cardiac rehabilitation of patients with chronic heart failure |
| 投稿时间：2024-05-13 |
| DOI：10.3969/J.issn.1672-6790.2025.03.005 |
| 中文关键词: 心脏康复 心力衰竭 太极拳 抗阻训练 生活质量 |
| 英文关键词: Cardiac rehabilitation Heart failure Shadow boxing Resistance training Quality of life 〖FL |
| 基金项目:军队保健专项课题 |
| 作者 | 单位 | | 丁胜华 | 中国人民解放军联勤保障部队天津康复疗养中心, 心内科,天津 300381 | | 陈杰 | 中国人民解放军联勤保障部队天津康复疗养中心, 心内科,天津 300381 | | 刘晓羽 | 中国人民解放军联勤保障部队天津康复疗养中心, 心内科,天津 300381 | | 陈晓宁 | 中国人民解放军联勤保障部队天津康复疗养中心, 心内科,天津 300381 | | 赵胜男 | 中国人民解放军联勤保障部队天津康复疗养中心,疗养五科,天津 300381 | | 张亮 | 中国人民解放军联勤保障部队第九八三医院,天津 300141 |
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| 中文摘要: |
| 目的 探讨在慢性心力衰竭(CHF)患者心脏康复中太极拳联合抗阻运动的应用效果。方法 选取2020年5月至2021年5月在中国人民解放军联勤保障部队天津康复疗养中心的180例CHF患者,采用随机信封法分为3组,常规治疗的同时,对照A组(60例)采取太极拳训练,对照B组(60例)采取抗阻运动,观察组(60例)采取太极拳联合抗阻运动,时间3个月。观察患者疗效和干预前及干预1、3个月3组心肺功能[峰值摄氧量(PeakVO2)、摄氧效率斜率(OUES)、氧脉搏(VO2/HR)、峰值通气量(PeakVE)、左心室射血分数(LVEF)]、房室结构[左心房内径(LA)、左心室舒张末期内径(LVEDD)、右心室内径(RV)]、心理认知功能及生存质量。结果 观察组总有效率(91.67%)高于对照A组(75.00%)和对照B组(76.67%),差异有统计学意义(P<0.05)；干预1、3个月观察组PeakVO2、OUES、VO2/HR、PeakVE、LVEF高于对照A组与对照B组(P＜0.05),但同期对照A组与对照B组相比,差异无统计学意义(P＞0.05)；干预3个月观察组LVEDD、LA、RV低于对照A组、对照B组(P＜0.05),而同期对照A组与对照B组比较,差异无统计学意义(P＞0.05)；干预1、3个月观察组可重复的成套神经心理状态测量评分高于对照A组、对照B组(P＜0.05),而同期对照A组与对照B组比较,差异无统计学意义(P＞0.05)；干预1、3个月观察组明尼苏达心力衰竭生存质量量表评分低于对照A组、对照B组(P＜0.05),而对照A组与对照B组比较,差异无统计学意义(P＞0.05)。结论 在CHF患者心脏康复中,太极拳联合抗阻运动有助于改善患者心肺功能、抑制心室重塑、改善认知功能及生存质量,有助于CHF患者心脏康复。 |
| 英文摘要: |
| Objective To explore the effect of Taijiquan combined with resistance exercise in cardiac rehabilitation of patients with chronic heart failure (CHF).Methods A total of 180 patients with CHF in the Joint Logistic Support Force of the People′s Liberation Army Tianjin Rehabilitation Center from May 2020 to May 2021 were selected and divided into 3 groups by random number table.In addition to conventional treatment,control group A was given Taijiquan training,and control group B was given resistance training.Exercise,the observation group took Taijiquan combined with resistance exercise for 3 months.The patients′ efficacy and cardiopulmonary function(PeakVO2,OUES,VO2/HR,PeakVE,LVEF),atrioventricular structure (LA,LVEDD,RV),psychological cognitive function and quality of life before intervention,after 1 and 3 months of intervention were observed among the three groups.Results The total effective rate of the observation group was 91.67%,which was higher than that of the control group A (75.00%) and control group B (76.67%),P<0.05.After 1 and 3 months of intervention,the observation group had higher PeakVO2,OUES,VO2/HR,PeakVE,and LVEF than the control group A and control group B (P<0.05),but there was no significant difference between the control group A and control group B during the same period (P>0.05).After 3 months of intervention,the observation group had lower LVEDD,LA,and RV than the control group A and control group B (P<0.05),but there was no significant difference between the control group A and control group B (P>0.05).After 1 and 3 months of intervention,the observation group had higher RBANS scores than the control group A and control group B (P<0.05),but there was no significant difference between the control group A and control group B (P>0.05).After 1 and 3 months of intervention,the observation group had lower LHFQ scores than the control group A and control group B (P<0.05),but there was no significant difference between the control group A and control group B (P>0.05).Conclusions In the cardiac rehabilitation of CHF patients,Tai Chi combined with resistance exercise can help improve the cardiopulmonary function,inhibit ventricular remodeling,improve cognitive function and quality of life,help CHF patients with cardiac rehabilitation. |
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