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Efficacy Evaluation Of Ba Duan Jin On Stage Ⅱ Cardiac Rehabilitation In Patients After Emergency PCI

Posted on:2020-09-28Degree:MasterType:Thesis
Country:ChinaCandidate:Z L ZhangFull Text:PDF
GTID:2404330596983412Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:
Objective:This study was to observe the effect of Ba Duan Jin exercise on stage II cardiac rehabilitation in patients after emergency percutaneous coronary intervention(PCI),and to explore the safety evaluation,cardiopulmonary function and quality of life of patients with stage II cardiac rehabilitation after emergency PCI.Methods:Seventy patients with successful emergency PCI in the department of cardiology of Xiamen Hospital of Traditional Chinese Medicine were randomly divided into control group and rehabilitation group.The control group received routine treatment(conventional drugs,health education,etc.);the rehabilitation group supplemented the cardiac rehabilitation of Ba Duan Jin exercise prescription on the basis of conventional treatment.Before the rehabilitation,the basic conditions of the two groups were compared.The N terminal pro brain natriuretic peptide(NT-proBNP),the left ventricular ejection fraction(LVEF),the anaerobic threshold(AT),the Peak metabolic equivalent(Peak METs)and Seattle angina questionnaire(SAQ)were observed at the time of discharge and 8 weeks after rehabilitation.Results:1.No adverse cardiovascular events occurred during the entire rehabilitation process.2.Before rehabilitation,the basic conditions of the two groups(such as gender,age,number of diseased vessels,number of stents,etc.)were not statistically significant(P>0.05);after 8 weeks of rehabilitation,the two groups of patients were in NT-proBNP,LVEF,AT and Peak METs were improved compared with those before rehabilitation(P<0.05).3.In terms of NT-proBNP,there was no significant difference in the improvement of the rehabilitation group compared with the control group(P>0.05);In terms of LVEF,the rehabilitation group had a higher degree of improvement than the control group.The significance of learning(P<0.05);In terms of AT,the improvement of the rehabilitation group was higher than that of the control group,which was statistically significant(P<0.05);In terms of Peak METs,the improvement of the rehabilitation group compared with the control group was high,statistically significant(P<0.05).4.In the evaluation of the Seattle angina questionnaiire,the two groups of patients were in physical limitations(PL),angina stability(AS),angina frequency(AF)and disease perception(DP)dimensions were improved compared with those before rehabilitation.(P<0.05);There was no significant difference in the treatment satisfaction(TS)dimension between the two groups(P>0.05).In the degree of PL,AS and DP,the improvement of the rehabilitation group was higher than that of the control group,which was statistically significant(P<0.05);In the degree of AF,there was no significant difference in the improvement of the rehabilitation group compared with the control group(P>0.05).Conclusion:1.After successful evaluation of the general condition and exercise risk of patients undergoing emergency PCI,it is safe to use Ba Duan Jin as the exercise prescription for phase II cardiac rehabilitation.2.Ba Duan Jin as a prescription for stage II cardiac rehabilitation in patients undergoing emergency PCI can improve cardiopulmonary function and significantly improve left ventricular ejection fraction,anaerobic threshold and peak metabolic equivalent.3.Using Ba Duan Jin as a prescription for stage II cardiac rehabilitation in patients undergoing emergency PCI after surgery can significantly improve physical limitations,angina stability and disease perception,thereby improving quality of life.
Keywords/Search Tags:Ba Duan Jin, Cardiac rehabilitation, Acute myocardial infarction, Percutaneous coronary intervention
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