| Objective:By observing the treatment of chronic heart failure patients before and after the change of each index,evaluation of "Ba duan jin" in the improvement of the physical and chemical indexes of patients with chronic heart failure,exercise tolerance,the curative effect of TCM symptoms and quality of life,in order to be able to combine traditional Chinese and western medicine treatment of chronic heart failure,cardiac rehabilitation to provide more safe and effective rehabilitation schemes.Methods:108 patients with chronic heart failure who met the inclusion criteria were randomly divided into control group and treatment group.Control group treated by routine western medicine,the treatment group on the basis of conventional western medicine treatment supplemented by "Ba duan jin" rehabilitation treatment,treatment for half a year,two groups of patients before and after treatment,respectively,record the patient's physical and chemical indicators,exercise tolerance index,TCM symptoms,quality of life index,and comparing respectively on two groups of data analysis and statistical processing.Results:1.Comparison of physical and chemical indexes:intra-group comparison:there was a significant difference between the two groups before and after treatment in BNP group(P<0.01);There was no significant difference in LVEF between the control group and the treatment group before and after treatment(P>0.05),while there was significant difference in LVEF between the treatment group and the treatment group(P<0.05).Comparison between groups:BNP was improved in both groups after treatment,and the improvement of BNP in the treatment group was significantly better than that in the control group(P<0.01).The improvement of LVEF in the treatment group was better than that in the control group(P<0.05).2.Comparison of efficacy of exercise tolerance indexes:intra-group comparison:patients in the control group showed significant differences in METS,RPE and V02max before and after treatment(P<0.05),and 6MWD showed significant differences(P<0.01).Patients in the treatment group showed significant differences in METS,RPE,V02max and 6MWD before and after treatment(P<0.01).Intergroup comparison:patients in the two groups were improved after treatment with METS,RPE,V02max,6MWD and NYHA.The improvement of METS,RPE,V02max and 6MWD in the treatment group was significantly better than that in the control group(P<0.01),and the improvement of NYHA in the treatment group was better than that in the control group(P<0.05).3.TCM symptoms curative effect comparison:is:in the group and the control group before and after treatment in patients with cold heart palpitations,chest tightness,and cold limbs,fatigue weakness,limb swelling,spontaneous perspiration very significant difference(P<0.01),shortness of breath,cough,abdominal distension significant difference(P<0.05),the treatment group before and after treatment in patients with heart palpitations,chest tightness,shortness of breath,cold cough,abdominal distention,and cold limbs,lack of burnout,limb edema,spontaneous perspiration very significant difference(P<0.01).Comparison between the two groups:all the symptoms of the two groups were improved after treatment.The improvement of palpitation,chest tightness,shortness of breath,chills and cold limbs,abdominal distension,swelling of floating limbs and spontaneous sweating in the treatment group was significantly better than that in the control group(P<0.01),and the improvement of cough and fatigue and tiredness in the treatment group was better than that in the control group(P<0.05).4.Comparison of curative effect on quality of life:intra-group comparison:there were significant differences in body and emotional dimensions between the two groups before and after treatment(P<0.01),while there were no statistically significant differences in other dimensions before and after treatment(P>0.05).Comparison between groups:after treatment,the physical,emotional and other dimensions of patients in the two groups were improved,and the improvement of physical and emotional dimensions in the treatment group was significantly better than that in the control group(P<0.01)and the improvement of other dimensions in the treatment group was better than that in the control group(P<0.05).Conclusion:1.Regular exercise of "Ba duan jin" can improve the cardiac function of patients with chronic heart failure,effectively improve the symptoms of traditional Chinese medicine,and improve the exercise tolerance and quality of life of patients with chronic heart failure.2.The rehabilitation treatment of "Ba duan jin" for patients with chronic heart failure is simple and easy to learn,with good safety and compliance,and can be promoted Clinical application.3."Ba duan jin" can be used as an important supplementary means of rehabilitation treatment on the basis of conventional treatment for patients with chronic heart failure. |
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