364心血管康复医学杂志2010年8月第19卷第4期ChinJCardiovascRehabilMed,Aug2010,Vol19No4康复论著太极拳运动对慢性心力衰竭患者康复的作用姚成栋,李福,马毅兵摘要:目的:观察长期太极拳运动对慢性心力衰竭(CHF)患者康复的作用。方法:选择CHF患者150例(心功能级),随机分为常规治疗对照组(简称对照组,70例)和太极拳运动康复组(康复组,80例),对照组给予标准心力衰竭常规药物治疗,康复组在常规药物治疗的基础上进行太极拳康复运动,为期6个月。两组患者于入组时及6个月期满时分别测试心功能级别、生活质量评分、6min步行距离(6MWT)、左室射血分数(LVEF)和左室舒张末期内径(LVEDd)。结果:与对照组比较,康复组在心功能分级、生活质量评分[(454!122)分∀(326!145)分]、6MWT[(461!102)m∀(554!94)m]、LVEF[(3962!728)%∀(4863!937)%]、LVEDd[(653!81)mm∀(607!65)mm]均有明显改善(P<001)。结论:太极拳运动能有效改善慢性心力衰竭患者的心功能和生活质量,促进患者的康复。关键词:太极拳;心力衰竭,充血性;康复文章编号:10080074(2010)0436404中图分类号:R5416109文献标识码:ADoi:10.3969/j.issn.1008-0074.2010.04.09EffectsofShadowboxingonrehabilitationinpatientswithchronicheartfailure/YAOChengdong,LIFu,MAYibing//DepartmentofCardiology,theEmployeeHospitalofKaihuaGroupCompany,Kaifeng,Henan,475002,ChinaAbstract:Objective:ToexploretheeffectsoflongtermShadowboxingonrehabilitationinpatientswithchronicheartfailure(CHF).Methods:The150CHFpatients(NYHAcardiacfunctionclass)wererandomlydividedintotheShadowboxinggroup(rehabilitationgroup,80cases)androutinetherapycontrolgroup(controlgroup,70cases).TherehabilitationgrouptreatedwithShadowboxingfor6monthsonthebaseofroutinetherapy.TheNYHAcardiacfunctionclass,qualityoflife,6-minutewalktest,leftventricularejectionfraction(LVEF)andleftventricularenddiastolicdimension(LVEDd)wereestimatedintwogroupsbeforeandafter6monthstherapy.Results:Comparedwithcontrolgroup,TheNYHAcardiacfunctionclass,qualityoflife[(454!122)scoresvs.(326!145)scores],6-minutewalkdistance[(461!102)mvs.(554!94)m],LVEF[(3962!728)%vs.(4863!937)%]andLVEDd[(653!81)mmvs.(607!65)mm]significantlyimproved(P<001all)inrehabilitationgroup.Conclusion:Shadowboxingcansignificantlyimprovethecardiacfunctionandqualityoflifeinpatientswithchronicheartfailure.Keywords:Shadowboxing;Heartfailure,congestive;Rehabilitation慢性心力衰竭(CHF)是一种慢性的、进行性150例,均符合Framingham国际心力衰竭诊断标加重的临床症候群。大量资料表明,大多数经过选准[4],经过系统治疗后,依据美国纽约心脏协会择的CHF病人通过规律的康复运动