The Influence Of Taijiquan On Elderly Stability Patients With Chronic Congestive Heart Failure

Objective:Observing the improvement to the elderly patients with chronic congestive heart failure(chronic congestive heart failure CHF)who were treated by the taijiquan combined with conventional drug treatment on cardiac function,quality of life,sleep quality and anxiety depression symptoms,and discussing the possible mechanism of action,and providing new ideas for elderly CHF treatment.Methods:Selecting in October 2015 to October 2016 in jiangsu province hospital of cardiology outpatient or hospitalization accords with the standard set of 60 cases of elderly patients with CHF,according to the method of random Numbers were randomly divided into treatment group and control group,30 cases in each group.Two groups of patients were given routine drug treatment,the treatment group on the basis of routine therapy combined with taijiquan practice.Two groups were treated for 12 weeks.Evaluatiing respectively in the two groups before treatment and 12 weeks after treatment in patients with plasma brain natriuretic peptide(BNP),left ventricular ejection fraction(LVEF),6 min walk test(6 MWDS),TCM symptoms curative effect,Hamilton depression scale(HAMD),Pittsburgh sleep quality index(PSQI),the Minnesota heart failure the change of the quality of life questionnaire(MLHF),and statistical analysis.Results:After 12 weeks of treatment,the BNP,LVEF,6 MWDS,TCM symptoms curative effect,HAMD,PSQI and MLHF aspect,the treatment group and control group were to improve before the treatment(P<0.05),and the treatment group is better than that of control group(P<0.05).Conclusion:1.12 weeks of taijiquan practice with routine drug treatment can effectively reduce the BNP levels,increased LVEF,increase 6 MWDS,improve heart function.Taijiquan exercises with conventional drug treatment in improves cardiac function in elderly patients with CHF is superior to the conventional drug treatment alone.2.12 weeks of taijiquan practice with routine drug treatment can significantly improve the clinical symptoms of traditional Chinese medicine(TCM)in elderly patients with CHF,the total effective rate was higher than conventional drug treatment alone.3.12 weeks of taijiquan practice with routine drug therapy in reducing HAMD scores,PSQI scores and MLHF score was better than drug therapy alone.4.Taijiquan practice with routine drug treatment can improve the elderly patients with CHF of heart function,sleep quality,depressive symptoms and quality of life,taijiquan practice as an auxiliary means can be applied to elderly CHF treatment,suitable for application and tertiary prevention of elderly patients with CHF.