| Purpose:To Observe the effect of conventional drug therapy combined with Taijiquan exercise on cardio-pulmonary function and NT-pro BNP,LVEF functions in patients with chronic heart failure and its influence on the Minnesota life quality score of heart failure in order to explore the effect of Taijiquan exercise on the rehabilitation of patients with chronic heart failure treatment.Materials and methods : 60 cases with chronic heart failure in department of cardiology,People’s Hospital of Liaoning Province were selected from June 2015 to April2016(NYHA II-III),among whom 31 were males,29 were females,whose mean age were61.2 ± 6.1 years old(50-70 year old).They were follow the random number table divided into routine treatment group(control group)and Taijiquan group(experimental group).They were diagnosed,treated for chronic heart failure according to the 2016 ESC guidelines for diagnosis and treatment for acute and chronic heart failure and classified by the heart function of the New York Heart Association.The control group was treated with routine drugs,while Taijiquan group were added 24-style Taijiquan exercise for 6 months 3-5 times a week which lasted 30 mins every time based on the routine treatment in the control group.The age,gender,height,weight,BMI,blood pressure and other general situation and heart and lung function,NT-pro BNP,LVEF before and after the treatment were recorded.The Minnesota life quality score of heart failure was scored and compared.Results:1.Heart and lung function index:The AT(9.08±0.53ml/kg.min vs.8.96±0.49ml/kg.min,P>0.05),VO2max(14.55±1.04 ml/kg.min vs.14.66±1.05ml/kg.min,P>0.05),and oxygen pulse ratio(8.40±0.47 ml/bpm vs.8.57±0.52ml/bpm,P>0.05)had no statistical difference to routine treatment group and Taijiquan group before treatment;the AT(9.57±0.63ml/kg.min vs.10.38 ± 0.48ml/kg.min,P < 0.05),VO2max(15.49 ± 0.87ml/kg.min vs.16.72 ±1.05ml/kg.min,P < 0.05),and oxygen pulse ratio(9.48 ± 0.52ml/bpm vs.10.25 ±1.23ml/bpm,P<0.05)had statistical difference to routine treatment group and Taijiquan group after treatment,Taiji group increased more significantly,compared with the conventionaltreatment group;Before and after treatment AT(9.08 ± 0.53ml/kg.min vs.9.57 ±0.63ml/kg.min,8.96±0.49ml/kg.min vs.10.38±0.48ml/kg.min,P<0.05);VO2max(14.55±1.04 ml/kg.min vs.15.49±0.87ml/kg.min,14.66±1.05ml/kg.min vs.16.72±1.05ml/kg.min,P< 0.05);and oxygen pulse ratio(8.40 ± 0.47 ml/bpm vs.9.48 ± 0.52ml/bpm,8.57 ±0.52ml/bpm vs.10.25±1.23ml/bpm,P<0.05)was statistical difference.2.NT-pro BNP: NT-pro BNP value(435.9±199.7ng/l vs.415.0±240.8ng/l,P>0.05)had no statistical difference to routine treatment group and Taijiquan group before treatment;the two groups both decreased after treatment(338.9±213.6ng/l vs.203.1±231.6ng/l,P<0.05)compared with the conventional treatment group,Taiji group decreased more significantly;Before and after treatment NT-pro BNP(435.9 ± 199.7ng/l vs.338.9 ± 213.6ng/l,415.0 ±240.8ng/l vs.203.1±231.6ng/l,P<0.05)was statistical difference.3.The LVEF value(0.42±0.06 vs.0.40±0.07,P>0.05)had no statistical difference to routine treatment group and Taijiquan group before treatment;the LVEF value of two groups increased after treatment(0.44±0.08 vs.0.42±0.03,P>0.05),but the difference was not statistically significant;Before and after treatment the LVEF value(0.42±0.06 vs.0.44±0.08,0.40±0.07 vs.0.42±0.03,P>0.05)was no statistical difference.4.The Minnesota life quality score of heart failure :The score(43.39±9.18 vs.46.66±10.94,P>0.05)had no statistical difference to routine treatment group and Taijiquan group before treatment;The two groups both decreased after treatment(33.96±9.58 vs.25.22±6.97,P<0.05);Taiji group decreased more significantly compared with the conventional treatment group,Before and after treatment the score(43.39±9.18 vs.33.96±9.58,46.66±10.94 vs.25.22±6.97,P<0.05)was statistical difference.Conclusions:1.The combination of drugs with Taijiquan exercise can improve AT,VO2 max of patients with chronic heart failure and reduce the level of NT-pro BNP oxygen pulse ratio compared with oxygen pulse.2.The combination of drugs with Taijiquan exercise can improve the tolerance of patients with chronic heart failure,improving the quality of life of patients.3.Cardiopulmonary function indicators can accurately and objectively evaluate the status ofpatients with chronic heart failure. |
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