| 引用本文: |
龙腾,龙专,周骞,许明,吴婧,刘洪铭,李纳平,刘剑.太极拳联合有氧踏车对冠心病患者PCI术后身心康复的影响[J].湖南中医药大学学报,2021,41(8):1290-1296[点击复制] |
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| 太极拳联合有氧踏车对冠心病患者PCI术后身心康复的影响 |
| 龙腾,龙专,周骞,许明,吴婧,刘洪铭,李纳平,刘剑 |
| (湖南中医药大学, 湖南 长沙 410208;湖南中医药大学第一附属医院, 湖南 长沙 410007;湘潭市中心医院, 湖南 湘潭 411100) |
| 摘要: |
| 目的 研究太极拳联合有氧踏车运动对冠心病患者经皮冠状动脉介入术（PCI）术后身心康复的影响。方法 选取2019年1月至2020年1月湖南中医药大学第一附属医院PCI术后的冠心病患者60例为研究对象，随机分为观察组（n=30）和对照组（n=30），对照组接受常规药物治疗和健康宣教，观察组在对照组治疗基础上，术后1周开始接受每周3次为期12周的二十四式简化太极拳和有氧踏车训练，干预前后测定两组患者心肺功能、左室射血分数（LVEF）；9项患者健康问卷（PHQ-9）、7项广泛性焦虑障碍量表（GAD-7）和健康状况调查问卷（SF-36）评分。结果 观察组干预后心肺功能各项指标（峰值摄氧量、峰值氧脉搏、无氧阈摄氧量、无氧阈值下的代谢当量）及LVEF均高于干预前（P<0.05）。观察组干预后GAD-7、PHQ-9评分均较干预前降低（P<0.05）。干预后观察组SF-36中各维度评分较干预前均升高，其中总体健康感（GH）、生命活力（VT）、社会功能（SF）、情绪问题所致的角色受限（RE）、精神健康（MH）升高，差异有统计学意义（P<0.05）。干预后观察组心肺功能各项指标及LVEF较对照组升高（P<0.05）。干预后观察组GH、VT、SF、RE、MH的升高高于对照组（P<0.05）。结论 太极拳联合有氧踏车可以提高冠心病患者PCI术后的心肺功能，有效改善抑郁、焦虑的不良情绪，提高患者的生活质量。 |
| 关键词: 冠心病 经皮冠状动脉介入术 太极拳 有氧踏车 身心康复 心肺功能 心脏射血功能 焦虑 抑郁 |
| DOI：10.3969/j.issn.1674-070X.2021.08.028 |
| 投稿时间：2020-11-02 |
| 基金项目:湖南省自然科学基金项目（2019JJ40218）；湖南省教学改革项目（2019-391）；湖南省教育厅科学研究项目（20C1429）；湖南省体育局社会科学研究项目（2020XH073）；湖南中医药大学教学改革项目（2019-JG032）。 |
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| Effect of Tai Chi Combined with Aerobic Bicycle Exercise on Promoting Physical and Mental Recovery of Coronary Artery Heart Disease Patients After Percutaneous Coronary Intervention |
| LONG Teng,LONG Zhuan,ZHOU Qian,XU Ming,WU Jing,LIU Hongming,LI Naping,LIU Jian |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Central Hospital of Xiangtan, Xiangtan, Hunan 411100, China) |
| Abstract: |
| Objective To study the effect of Tai Chi combined with aerobic bicycle exercise on physical and mental rehabilitation of patients after percutaneous coronary intervention (PCI). Methods 60 patients after PCI in The First Affiliated Hospital of Hunan University of Chinese Medicine from January 2019 to January 2020 were selected as the research subjects, and were randomly divided into observation group (n=30) and control group (n=30). The patients in the control group received conventional drugs treatment and health education. In addition to the control group, patients in the observation group started cardiac rehabilitation at 1 week after PCI for 12 weeks of twenty-four style Tai Chi and aerobic bicycle exercise. Cardiopulmonary function, left ventricular ejection fraction (LVEF), 9 patient health questionnaire (PHQ-9), 7 generalized anxiety disorder scale (GAD-7) and health status questionnaire (SF-36) scores were measured before and after the intervention. Results After intervention, the indexes of the cardiopulmonary function (peak oxygen uptake, peak oxygen pulse, anaerobic threshold oxygen uptake, anaerobic threshold metabolic equivalent) and LVEF in the observation group were all higher than before intervention (P<0.05). After intervention, the average score of GAD-7 and PHQ-9 in the observation group was significantly lower than that before intervention (P<0.05). Compared with before intervention, the scores of all dimensions of the SF-36 scale in observation group were increased after intervention, the increase of general health (GH), vitality (VT), social functioning (SF), role limitation due to emotional problems (RE), mental health (MH) has statistical significance (P<0.05). After intervention, the indexes of cardiopulmonary function and LVEF in the observation group were higher than those in the control group (P<0.05). After intervention, the increase of GH, SF, VT, RE, MH in the observation group was significantly higher than that in the control group (P<0.05). Conclusion Tai Chi combined with aerobic bicycle exercise can improve the cardiopulmonary function of patients with coronary heart disease after PCI, and can effectively improve the negative emotions of anxiety and depression, improve the quality of life of patients. |
| Key words: coronary heart disease percutaneous coronary intervention Tai Chi aerobic bicycle exercise physical and mental rehabilitation cardiopulmonary function cardiac ejection function anxiety depression |
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