| Application of cardiac rehabilitation qigong for study on rehabilitation of stable coronary atherosclerotic heart disease.ObjectiveBy combing the records of ancient Chinese central disease guidance,exploring the feasibility of traditional guiding technique for modern cardiac rehabilitation;combining traditional rehabilitation theory to prepare traditional guiding exercise prescriptions for patients with stable coronary heart disease;through randomized controlled clinical studies,observation Cardiac rehabilitation guidance function is used for the rehabilitation of patients with stable coronary heart disease(SCAD),in order to provide a preliminary basis for the effectiveness and safety of traditional rehabilitation therapy in the field of modern cardiac rehabilitation.Methods1.By using the method of documentary research,combining the knowledge of traditional Chinese medicine guidance,modern clinical cardiac rehabilitation and sports medicine,the ancient cardiac disease guidance was analyzed.By selecting Monographs on cardiac disease guidance recorded from Sui,Tang and Ming and Qing dynasties,the indications,specific surgical methods and application methods of cardiac disease guidance were sorted out,its characteristics were analyzed,its evolution was summarized,and its modern application value was discussed in combination with modern sports medicine and rehabilitation medicine theory.2.Based on the ancient literature on the text and graphic description of the heart disease guiding procedure,combined with the 9 sets of Health Qigong textbooks and the prescribed 24 style Taijiquan textbooks of the State Sports General Administration,combined with modern fitness Qigong,Taijiquan theory and modern cardiac exercise rehabilitation The theory,the creation of TCM cardiac rehabilitation guidance and specifically discusses its background,the characteristics of the exercises,the technical essentials,and combined with the illustrations and texts,specific analysis of the action name,technical points and functions of the exercises.3.Based on the understanding of heart and chest pain in traditional Chinese medicine,combined with modern sports prescription theory and traditional Chinese medicine theory,to explore patients with scad III Rehabilitation exercise prescriptions and analyze their effectiveness and safety.4.The experimental study is a randomized controlled tIial.A total of 59 scad patients who were admitted to the Sports Hospital of the National Sports General Administration of Sports,from March to September 2017,were randomly assigned to a cardiac rehabilitation guide group(30 patients)and a control group(29 patients)who received 12-week exercise intervention.),enrollment is consistent with the principle of continuous inclusion.All participants underwent baseline and 12 weeks of intervention.The primary endpoint was the cardiopulmonary exercise plate test parameters at 2 time points.The secondary endpoint parameters included relevant physical parameters,bone density parameters,and cardiac b-ultrasound results.Results1The literature research results(1)The terminology associated with heart disease related to heart disease guidance is extensively described.During the Sui and Tang Dynasties,there were 2 documents that specifically documented heart disease guidance,which recorded heart disease,inconvenient inconvenience,abdominal pain,and chest stagnation.It is suitable for practice guidance,treating the heart with the word "he",qigoing to the heart and mind Cardiac guidance.During the Song and Jin Dynasties,there were 3 documents documenting heart disease guidance,which mainly included inducing heart and abdomen,coughing in the chest,chest disease,removing the chest,pain in the lungs,treating the chest,removing the pain in the chest,removing the chest and crusting,and treating the heart.Struggling,"he" to cure the heart and so on.During the Ming and Qing Dynasties,there were 13 documents documenting the guidance of heart disease,including the treatment of evil between the chest and the chest,treating the heart and enveloping the evil spirits,treating the heart and ache,treating the chest and phlegm,treating the heartache,treating the chest and nausea,treating the heart and treating the chest.Full,cure the chest full,cure the heart under the pain,cure chest pain,cure the heart and irritability,cure heart and chest diseases,cure the heart,cure heart and lung suffocation,cure the evil in the chest and abdomen,clear the heart,cure the heart,cure chest suffocation,Treat chest pain,anger,and heart.(2)The specific training involved in heart disease guidance is rich.In the heart disease guiding procedure,qi,limb movement,self-massage,sound,caries,mouthwash,and consciousness are guided to its specific content.And pay attention to the three-in-one,pay attention to loose nature,dynamic and static,emphasize the combination of training,step by step,persevere.From the development of the heart disease guidance technique,it can be seen that inheritance also plays a role,and the content gradually becomes richer over time.Its 5 clinical application reflects the three aspects of heart,mind and overall regulation.In addition,the heart,the heart,the intention,the throat,the tooth,the jade spring,and the meditation are also supplementary content.2 The results of the clinical study(1)In this study,68 patients were enrolled,59 patients completed the trial(30 in the cardiac rehabilitation guidance group,and 29 in the control group).There was no statistically significant difference between the two groups at baseline.(2)After 12 weeks of intervention,the △VO2[(241.93±349.34)ml/min]was higher than the control group[(-40.07±344.04)ml/min](P=0.003),△VO2/Kg[(3.40±4.74)ml/min/kg]was higher than the control group[(-0.65±4.86)ml/min/kg](P=0.002),△METS(1.13± 1.31)was higher than the control group(-0.14±1.60)(P=0.001),△VO2/HR[(0.93±2.10)ml/beat]was higher than the control group[(-0.34±2.22)ml/beat](P=0.027),△SV[(5.70± 12.84)ml/beat]was higher than the control group[(-2.55±12.06)ml/beat](P=0.014),△ODES(51.59±268.78)was higher than the control group(-82.54±322.92)(P=0.012),△ left grip strength[(4.27±5.72)N]was higher than the control group[(-0.14±4.82)N](P=0.002),△right grip strength[(5.8±6.98)N]was higher than the control group[(0.17±6.96)N](P=0.003),△lexible fitness[(6.6±4.80)cm]was higher than the control group[(1.48±6.11)cm](P=0.001),△balance fitness[(8.03±8.72)s]was higher than the control group[(1.38±6.06)s](P=0.002),△T-score(0.17±0.60)was higher than the control group(-0.17±0.66)(P=0.042),△BQI(4.69±10.75)was higher than the control group(-3.03±13.23)(P=0.018).A resting high pressure[(-14.87±16.81)mmHg]was lower than the control group[(-2.03± 15.65)mmHg](P=0.004),and A resting low pressure[(-8.07± 10.55)mmHg]was lower than the control group[(-1.6218.48)mmHg](P=0.012).Conclusions1 The results of literature research show that the description of heart disease guidance is scattered in ancient doctors and Taoist books.The content of guidance is wide-ranging.Qi,body movement,self-massage,sound,caries,mouthwash and consciousness guidance are its The main content,at the same time,the heart disease guiding surgery has a common training essentials,all attach importance to three-in-one,loose nature,dynamic and static,emphasizing the combination of training,step by step,perseverance.From the development history of the guiding principle of heart disease,it can be seen that there is also the development ofinheritance,and the content gradually becomes richer over time.At the same time,the clinical application of heart disease guiding surgery reflects the three aspects of heart,mind andoverall regulation.2 The results of clinical trials show that cardiac rehabilitation guidance has signifi cantly improved cardiopulmonary aerobic exercise capacity,physical fitness,and bone density in patients with scad.It has a certain effect on the rehabilitation of scad patie nts and is safe to use.Damage,which basically reaches or is close to the physical str ength of the normal person and the function of the heart,returns to society and provi des opportunities. |
PDF Full Text Request