[1]李 杰,陈 阳,许 军.太极拳运动对老年稳定性心绞痛患者的影响[J].医学信息,2018,31(16):75-77.[doi:10.3969/j.issn.1006-1959.2018.16.021]
 LI Jie,CHEN Yang,XU Jun.Effect of Taijiquan Exercise on Elderly Patients with Stable Angina Pectoris[J].Journal of Medical Information,2018,31(16):75-77.[doi:10.3969/j.issn.1006-1959.2018.16.021]
点击复制

太极拳运动对老年稳定性心绞痛患者的影响()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年16期
页码:
75-77
栏目:
临床研究
出版日期:
2018-08-15

文章信息/Info

Title:
Effect of Taijiquan Exercise on Elderly Patients with Stable Angina Pectoris
文章编号:
1006-1959(2018)16-0075-03
作者:
李 杰陈 阳许 军
潍坊市中医院心血管病二科,山东 潍坊 261041
Author(s):
LI JieCHEN YangXU Jun
Department of Cardiovascular Diseases,Subject Two,Weifang Traditional Chinese Medicine Hospital,Weifang 261041,Shandong,China
关键词:
太极拳运动稳定性心绞痛CRP心脏功能
Keywords:
Key words:Taijiquan exerciseStable angina pectorisCRPCardiac function
分类号:
R541.4
DOI:
10.3969/j.issn.1006-1959.2018.16.021
文献标志码:
A
摘要:
目的 探讨太极拳对老年稳定性心绞痛患者的影响及机制。方法 将2015年10月~2017年3月就诊于我院的100例确诊为稳定性心绞痛的老年患者,按照随机数字表法分为治疗组和对照组,每组50例。两组均采用常规治疗方法,治疗组接受太极拳运动。随访时间6个月,对随访期间内两组患者的心脏事件进行统计,并对比两组患者治疗前后血脂水平、CRP、心脏功能的变化情况。结果 治疗6个月后两组患者CRP、心血管事件发生率和低密度脂蛋白胆固醇均低于治疗前(P<0.05),而心脏射血分数和运动耐力均较治疗前有所提高(P<0.05);观察组患者治疗后CRP、心血管事件发生率和低密度胆固醇均低于对照组(P<0.05),且心脏射血分数和运动耐力高于对照组(P<0.05)。结论 太极拳运动能明显降低老年稳定性心绞痛患者心脏事件的发生率,改善脂代谢和降低CRP表达,从而提高患者生活质量。
Abstract:
Abstract:Objective To investigate the effect and mechanism of Taijiquan on elderly patients with stable angina pectoris.Methods 100 elderly patients diagnosed with stable angina pectoris who were admitted to our hospital from October 2015 to March 2017 were divided into treatment group and control group according to random number table,50 cases in each group.Both groups used conventional treatment,the treatment group received Taijiquan exercise.During the follow-up period of 6 months,the cardiac events of the two groups were counted during the follow-up period,and the changes of blood lipid levels,CRP and cardiac function before and after treatment were compared between the two groups.Results After 6 months of treatment,the incidence of CRP,cardiovascular events and low-density lipoprotein cholesterol were lower in the two groups than before treatment(P<0.05),the cardiac ejection fraction and exercise endurance were increased compared with those before treatment(P<0.05).The incidence of CRP,cardiovascular events and low-density cholesterol were lower in the observation group than in the control group(P<0.05).The ejection fraction and exercise tolerance were higher than the control group(P<0.05).Conclusion Taijiquan exercise can significantly reduce the incidence of cardiac events in elderly patients with stable angina pectoris,improve lipid metabolism and reduce CRP expression,thus improving the quality of life of patients.

参考文献/References:

[1]Anderson L,Oldridge N,Thompson DR,et al.Exercise-based cardiac rehabilitation for coronary heart disease:Cochrane systematic review and meta-analysis [J].J Am Coll Cariol,2016,67(1):1-12.
[2]张朝霞,方亮,王秀琼.康复运动对老年心绞痛患者心脏事件及脂代谢的影响[J].河南医学研究,2015,24(5):7-9.
[3]陆再英,钟南山.内科学[M].第7版.北京:人民卫生出版社,2008:274-284.
[4]苟棋玲,干学东,王忠莉.234例冠状动脉粥样硬化性心脏病患者临床分析[J].武汉大学学报,2017,38(2):329-333.
[5]宋红,邓景贵,陶希,等.踏车运动对老年稳定型心绞痛患者的影响[J].中国康复医学杂志,2011,26(12):1140-1143.
[6]李洪臣,邱玥,铁英.陈式太极拳功法对老年2型糖尿病患者血液生化指标和心肺功能的影响[J].中国老年学杂志,2015,35(5):1293-1294.
[7]宋丽芬,皮林,赵晓静,等.早期康复治疗对急性心肌梗死患者预后及生活质量的影响[J].心血管康复医学杂志,2017,26(1):5-7.
[8]陈万睿,陈婧.太极拳和健身气功八段锦对中老年血脂及生活质量的影响[J].中国老年学杂志,2015,35(19):5612-5613.
[9]Nery RM,Zanini M,Ferrari JN,et al.Tai Chi chuan for cardiac rehabilitation in patients with coronary arterial disease[J].Arq Bras Cardiol,2014,102(6):588-592.
[10]Deer RR,Heaps CL.Exercise training enhances multiple mechanisms of relaxation in coronary arteries from ischemic hearts [J].Am J Physiol Heart Circ Physiol,2013,305(9):1321-3131.
[11]倪隽,沈光宇,苏建友,等.长期太极拳练习对冠心病患者缺血修饰清蛋白的影响[J].重庆医学,2010,39(3):320-322.
[12]Bhagavan NV,Lai EM,Rios PA,et al.Evaluation of human serum albumin cobalt binding assay for the assessment of myocardial ischemia and myocardial infarction[J].Clinical Chem,2003,49(4):581.
[13]向斌.踏车运动对老年稳定型心绞痛患者的影响及机制[J].中国老年学杂志,2014,34(24):6868-6869.
[14]江铃,刘映峰,吴沛锵,等.冠心病患者程序性死亡因子配体2的表达及其与炎症因子的相关性[J].中国老年学杂志,2011,31(6):941-942.
[15]常淑平,邓敬娟.浅析太极拳防治高血压的机理[J].中国中医药现代远程教育,2010,8(84):122.
[16]刘亮.太极拳联合运动康复训练治疗老年冠心病的疗效及对不良心理和生活质量的影响[J].中西医结合心脑血管病学杂志,2016,14(5):475-477.
[17]付萍萍,张洪斌.八段锦、太极拳治疗原发性高血压及其降压机制的研究进展[J].河北中医,2013,35(10):1585-1586.

更新日期/Last Update: 2018-08-15