太极拳运动对老年稳定性心绞痛患者的影响

目的 探讨太极拳对老年稳定性心绞痛患者的影响及机制。方法 将2015年10月~2017年3月就诊于我院的100例确诊为稳定性心绞痛的老年患者，按照随机数字表法分为治疗组和对照组，每组50例。两组均采用常规治疗方法，治疗组接受太极拳运动。随访时间6个月，对随访期间内两组患者的心脏事件进行统计，并对比两组患者治疗前后血脂水平、CRP、心脏功能的变化情况。结果 治疗6个月后两组患者CRP、心血管事件发生率和低密度脂蛋白胆固醇均低于治疗前（P<0.05），而心脏射血分数和运动耐力均较治疗前有所提高（P<0.05）；观察组患者治疗后CRP、心血管事件发生率和低密度胆固醇均低于对照组（P<0.05），且心脏射血分数和运动耐力高于对照组（P<0.05）。结论 太极拳运动能明显降低老年稳定性心绞痛患者心脏事件的发生率，改善脂代谢和降低CRP表达，从而提高患者生活质量。

Effect of Taijiquan Exercise on Elderly Patients with Stable Angina Pectoris

Abstract:Objective To investigate the effect and mechanism of Taijiquan on elderly patients with stable angina pectoris.Methods 100 elderly patients diagnosed with stable angina pectoris who were admitted to our hospital from October 2015 to March 2017 were divided into treatment group and control group according to random number table,50 cases in each group.Both groups used conventional treatment,the treatment group received Taijiquan exercise.During the follow-up period of 6 months,the cardiac events of the two groups were counted during the follow-up period,and the changes of blood lipid levels,CRP and cardiac function before and after treatment were compared between the two groups.Results After 6 months of treatment,the incidence of CRP,cardiovascular events and low-density lipoprotein cholesterol were lower in the two groups than before treatment(P<0.05),the cardiac ejection fraction and exercise endurance were increased compared with those before treatment(P<0.05).The incidence of CRP,cardiovascular events and low-density cholesterol were lower in the observation group than in the control group(P<0.05).The ejection fraction and exercise tolerance were higher than the control group(P<0.05).Conclusion Taijiquan exercise can significantly reduce the incidence of cardiac events in elderly patients with stable angina pectoris,improve lipid metabolism and reduce CRP expression,thus improving the quality of life of patients.