中西医结合心脏康复治疗慢性心力衰竭患者的临床效果

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Abstract Objective To observe the clinical efficacy of cardiac rehabilitation of integrated Chinese and western medicine in the treatment of patients with chronic heart failure. Methods One hundred patients with chronic heart failure hospitalized in Traditional Chinese Medicine Hospital of Beijing Huairou from January 2015 to January 2016 were selected and divided into treatment group and control group by random number table, with 50 cases in each group. The control group was treated by conventional western medicine therapy, on basis of which, the treatment group was added with cardiac rehabilitation of integrated Chinese and western medicine. Before treatment and after treatment for 6 months, the cardiac function classification of New York Heart Association (NYHA), 6-min walking test (6MWT) and the efficacy of traditional Chinese medicine (TCM) symptoms between two groups were compared. Results The total effective rate of cardiac function (84.0%), TCM symptoms (90.0%) in the treatment group were all higher than those of control group (70.0%, 80.0%), with statistically significant differences (all P ＜ 0.05). After treatment, 6MWT in both groups were all increased more than those before treatment, and the improvement in the treatment group was more remarkable, with statistically significant difference (P ＜ 0.05). Conclusion Cardiac rehabilitation of integrated Chinese and western medicine can significantly improve the cardiac function, exercise tolerance and TCM symptoms of patients with chronic heart failure.

Key words： Cardiac rehabilitation of integrated Chinese and western medicine Chronic heart failure Clinical efficacy

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	CHEN Yanqiao ZHANG Chengying CHEN Shaojun LI Jiangke

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CHEN Yanqiao ZHANG Chengying CHEN Shaojun LI Jiangke. Clinical efficacy of cardiac rehabilitation of integrated Chinese and western medicine in the treatment of patients with chronic heart failure[J]. 中国医药导报, 2017, 14(27): 157-160.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I27/157

[1] 苏锡铭，李俊峡.心血管病运动康复研究进展[J].临床误诊误治，2014，27（10）：113-116.
[2] 毕颖斐，毛静远，郑颖，等.中医及中西医结合心脏康复发展现状[J].中西医结合心脑血管病杂志，2016，14（14）：1616-1618.
[3] Eugene Braunwald.心脏病学[M].5版.陈灏珠，译.北京：人民卫生出版社，1999：407-429.
[4] The Criteria Committee of the New York Heart Association. Nomenolature criteria for diagnosis of diseases of the heart and great vessels [M]. 7th ed. Boston：Little Brown & Company，1973.
[5] 中华人民共和国卫生部.中药新药临床研究指导原则（试行）[M].北京：中国中医药科技出版社，2002：68-85.
[6] Hunt SA，Abraham WT，Chin MH，et al. 2009 focused update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults：A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelinesn [J]. J Am Coll Cardiol，2009，3（15）：e1-e90.
[7] 马英，杨志明，康玉明.中枢肾素-血管紧张素-醛固酮系统在慢性心衰时对交感神经活动的影响[J].生理科学进展，2008，39（2）：105-108.
[8] 周晓英，沈松林，张润峰.心脏康复的运动训练对心力衰竭治疗的研究进展[J].西南军医，2016，18（4）：373-376.
[9] 李立新.运动对慢性心力衰竭患者心功能及肾素-血管紧张素-醛固酮系统的影响研究[J].河北医学，2016，37（12）：1808-1810.
[10] 王煜，杨莉，王瑞萍，等.慢性心力衰竭与心脏康复[J].中国老年保健医学，2015，13（1）：94-96.
[11] 靳宜静，王学磊.心脏康复对稳定期慢性心力衰竭患者运动心肺功能的影响[J].齐齐哈尔医学院学报，2015， 36（16）：2370-2371.
[12] Gasiorowski A，Dutkiewicz J. Comprehensive rehabilitation in chronic heart failure [J]. Ann Agric Environ Med，2013，20（3）：606-612.
[13] 沈玉芹，蒋金法，王乐民，等.有氧运动康复对慢性心力衰竭患者运动耐力的影响[J].中华医学杂志，2011，91（38）：2678-2682.
[14] 潘华山.八段锦运动负荷对老年人心肺功能影响的研究[J].新中医，2008，40（1）：55-57.
[15] 石晓明，蒋戈利，刘文红，等.八段锦对冠心病患者心脏康复过程心肺功能的影响[J].解放军医药杂志，2017， 29（2）：24-27.
[16] 梁云花，廖色青，韩春蕾，等.八段锦运动干预对原发性高血压患者血压和血脂的影响[J].河南中医，2014，34（12）：2380-2381.
[17] 陈辉，周亚娜.八段锦对原发性高血压患者血压和血清超敏C反应蛋白的影响[J].中国康复医学杂志，2012， 27（2）：178-179.
[18] 刘俊荣，郭玉石，张瑞峰，等，健身气功“八段锦”对中老年人血糖的影响[J].中国老年学杂志，2011，31（16）：3196-3197.
[19] Chen MC，Liu HE，Huang HY，et al. The effect of a simple traditional exercise programme（Baduanjin exercise）on sleep quality of older adults：a randomized controlled trial [J]. Int J Nurs Stud，2012，49（3）：265-273.
[20] 陈泽芳，陈宋璋.应用主动呼吸康复训练改善老年心力衰竭患者运动耐力[J].现代医院，2015，15（3）：75-77.
[21] 王颖，张虹.运动康复治疗心力衰竭的作用机制研究[J].中国现代医生，2016，54（32）：165-168.
[22] 吴欣媛，李莉，丁沛然，等.八段锦对62例冠心病合并抑郁状态患者的影响[J].世界中医药，2014，9（1）：39-40.
[23] Wang XQ，Pi YL，Chen PJ，et al. Traditional Chinese exercise for cardiovascular diseases：systematic review and Meta-analysis of randomized controlled trials [J]. J Am Heart Assoc，2016，5（3）：e002562.