八段锦序贯疗法对ST段抬高型心肌梗死患者经皮冠状动脉介入治疗术后生活质量的影响
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摘要
目的探讨八段锦序贯疗法对ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)术后生活质量的影响。方法将82例STEMI患者随机分为实验组和对照组,对照组给予标准治疗,实验组在标准治疗基础上给予八段锦序贯疗法干预,分别在入组后第1天以及干预后3个月、6个月采用冠心病中西医结合量表进行评价。结果干预后6个月,实验组冠心病中西医结合量表各维度分数显著高于对照组(P <0. 05);实验组患者的康复效果显著优于对照组(P <0. 05)。结论八段锦序贯疗法可有效提升STEMI患者再灌注术后的生活质量。
Objective To investigate the effect of Ba Duan Jin sequential therapy on quality of life in patients with ST-segment elevation myocardial infarction( STEMI) after percutaneous coronary intervention( PCI). Methods Eighty-two patients with STEMI were randomly divided into experimental group and control group. The control group received standard treatment,while the experimental group was given Ba Duan Jin sequential therapy on the basis of standard treatment. The clinical efficacy was evaluated at 1 d,3 months,6 months after intervention by Integrated Chinese and Western Medicine Scale for coronary disease. Results After six months of intervention,the item score of Chinese and Western Medicine Scale of the coronary heart disease in the experimental group was significantly higher,and rehabilitative efficacy was better than that in the control group( P <0. 05). Conclusion Ba Duan Jin sequential therapy can effectively improve the postoperative quality of life of patients with STEMI after re-perfusion.
Objective To investigate the effect of Ba Duan Jin sequential therapy on quality of life in patients with ST-segment elevation myocardial infarction( STEMI) after percutaneous coronary intervention( PCI). Methods Eighty-two patients with STEMI were randomly divided into experimental group and control group. The control group received standard treatment,while the experimental group was given Ba Duan Jin sequential therapy on the basis of standard treatment. The clinical efficacy was evaluated at 1 d,3 months,6 months after intervention by Integrated Chinese and Western Medicine Scale for coronary disease. Results After six months of intervention,the item score of Chinese and Western Medicine Scale of the coronary heart disease in the experimental group was significantly higher,and rehabilitative efficacy was better than that in the control group( P <0. 05). Conclusion Ba Duan Jin sequential therapy can effectively improve the postoperative quality of life of patients with STEMI after re-perfusion.
引文
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[14]林秋,鄢行辉.健身八段锦对老年高血压患者康复的促进作用[J].中国老年学杂志,2017,37(12):3024-3026.
[15] Wen J M,Lin T,Jiang C G,et al. Effect of Baduanjin exercises on elevated blood lipid levels of middle-aged and elderly individuals:protocol for a systematic review and meta-analysis of randomised controlled trials[J]. BMJ Open,2017,7(9):e017213.
[16] Wen J M,Lin T,Cai Y H,et al. Baduanjin exercise for type2 diabetes mellitus:a systematic review and meta-analysis of randomized controlled trials[J]. Evid Based Complement Alternat Med,2017,2017:8378219.
[17]林娟.八段锦对冠心病稳定型劳累性心绞痛患者康复效果的研究[D].南京:南京中医药大学,2012:17-25.
[2]许艳梅,冯玉宝,苏平.运动康复对冠心病患者预后影响的研究进展[J].中国循环杂志,2016,31(3):310-312.
[3]孙卉丽,王硕仁,王亚红,等.八段锦应用于冠心病心脏康复的系统评价[J].长春中医药大学学报,2016,32(2):326-329.
[4] Poole L,Kidd T,Ronaldson A,et al. Depression 12-months after coronary artery bypass graft is predicted by cortisol slope over the day[J]. Psychoneuroendocrinology,2016,71:155-158.
[5] Hassanpour Dehkordi A,Khaledi Far A. Effect of exercise training on the quality of life and echocardiography parameter of systolic function in patients with chronic heart failure:a randomized trial[J]. Asian J Sports Med,2015,6(1):e22643.
[6]赵焕,王连生.运动对冠心病影响的研究进展[J].心血管病学进展,2012,33(2):203-206.
[7]郭力恒,张敏州,周袁申.邓铁涛养生方法对心肌梗塞康复期患者生命质量影响的观察[J].时珍国医国药,2012,23(6):1476-1477.
[8] Anderson J L,Adams C D,Antman E M,et al. 2012 ACCF/AHA focused update incorporated into the ACCF/AHA2007 guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction:a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[J]. J Am Coll Cardiol,2013,61(23):e179-e347.
[9]高润霖.急性心肌梗死诊断和治疗指南[J].中华心血管病杂志,2001,29(12):710-725.
[10]朱正刚,陈燕.坐式八段锦锻炼对慢性阻塞性肺疾病患者活动耐力和生活质量的影响[J].中国老年学杂志,2016,36(9):2265-2266.
[11]王伟.冠心病中西医结合生存质量量表的研制及考评[D].广州:广州中医药大学,2009:1-85.
[12] Daniel M,Agewall S,Caidahl K,et al. Effect of myocardial infarction with nonobstructive coronary arteries on physical capacity and quality-of-life[J]. Am J Cardiol,2017,120(3):341-346.
[13] Lee H Y,Kim J H,Kim B O,et al. Regular exercise training reduces coronary restenosis after percutaneous coronary intervention in patients with acute myocardial infarction[J]. Int J Cardiol,2013,167(6):2617-2622.
[14]林秋,鄢行辉.健身八段锦对老年高血压患者康复的促进作用[J].中国老年学杂志,2017,37(12):3024-3026.
[15] Wen J M,Lin T,Jiang C G,et al. Effect of Baduanjin exercises on elevated blood lipid levels of middle-aged and elderly individuals:protocol for a systematic review and meta-analysis of randomised controlled trials[J]. BMJ Open,2017,7(9):e017213.
[16] Wen J M,Lin T,Cai Y H,et al. Baduanjin exercise for type2 diabetes mellitus:a systematic review and meta-analysis of randomized controlled trials[J]. Evid Based Complement Alternat Med,2017,2017:8378219.
[17]林娟.八段锦对冠心病稳定型劳累性心绞痛患者康复效果的研究[D].南京:南京中医药大学,2012:17-25.