Effect Of Qigong Hezijue On Cardiac Function In Patients With Ischemic Stroke

Objective To explore the effect of Qigong He Zi Jue on cardiac function in patients with ischemic stroke.By observing the left ventricular function parameters,resting heart rate,blood pressure,Hamilton Depression Scale(HRSD)score,Hamilton Anxiety Scale(HAMA)score and stroke quality of life(SIS)score of the intervention group and the control group,the differences between the groups were analyzed and compared,so as to provide a safe,effective,simple and economical rehabilitation training method for clinic,It also provides a scientific theoretical basis for the application of He Zi Jue in patients with ischemic stroke.Methods From January 2021 to June 2021,64 patients with ischemic stroke who met the inclusion criteria were selected from the Department of Neurology of the 900 th Hospital of the Joint Logistics Support Force of the Chinese people’s Liberation Army.They were randomly divided into experimental group and control group,with 32 cases in each group.The control group received routine treatment,routine nursing and early rehabilitation nursing.On the basis of the control group,the intervention group received 12 weeks of He Zi Jue training,5days a week,twice a day,15 ~ 20 minutes each time.The differences of left ventricular function parameters,resting blood pressure,Hamilton Depression Scale(HRSD)score,Hamilton Anxiety Scale(HAMA)score and stroke quality of life(SIS)score were compared between the two groups before and after intervention were compared.Results1.The general data(gender,age,height,marital status,nationality,occupation,weight,educational level,dysarthria score,stroke NHISS score,affected side muscle strength score)and outcome indicators left ventricular function parameter index and blood pressure,Hamilton Depression Scale(HRSD)score,Hamilton Anxiety Scale(HAMA)score,stroke quality of life(SIS)score of the two groups were compared before intervention,The difference was not statistically significant(P > 0.05).2.Left ventricular function parameters: before and after intervention,the SV,EF,FS and CI of the two groups were improved,and the difference was statistically significant(P < 0.05);The resting heart rate of the patients in the intervention group was lower than that before the intervention(P < 0.05),but there was no significant change in the control group(P > 0.05);After the intervention,the resting heart rate in the intervention group was significantly lower than that in the control group(P < 0.05).After the intervention,the SV,EF,FS and CI of the intervention group were significantly better than those of the control group(P < 0.05).3.Blood pressure: before and after the intervention,the blood pressure of patients of the two groups decreased compared with that before the intervention,and the difference was statistically significant(P < 0.05).After the intervention,there was no significant difference between the two groups(P > 0.05).4.The scores of Hamilton Depression Scale(HRSD)and Hamilton Anxiety Scale(HAMA): after the intervention,the scores of HRSD and HAMA in the intervention group were lower than those before the intervention(P < 0.05);There was no significant difference of HRSD score and HAMA score in the control group(P > 0.05).After the intervention,the scores of HRSD and HAMA in the intervention group were significantly lower than those in the control group(P < 0.05).5.Stroke quality of life(SIS)score: after the intervention,compared within the group,the SIS scores of patients in the intervention group were higher than those before the intervention in the dimensions of strength,memory and thinking,emotion,communication,daily activities,mobility,affected hand function and recovery of social participation(P <0.05).There was no significant difference between the two groups in the dimensions of strength,daily activities,mobility,affected hand function and conscious recovery(P >0.05).The scores of memory,thinking,emotion,communication and social participation in the intervention group were significantly higher than those in the control group(P < 0.05)Conclusions1.Ha Zi formula can improve SV,EF,FS and CI of patients with ischemic stroke.2.The effect of HA Zi Jue on reducing blood pressure in patients with ischemic stroke is not significant.3.Ha Zi formula can improve anxiety and depression in patients with ischemic stroke,4.Ha Zi Jue can improve the daily life of patients with ischemic stroke to a certain extent,and help improve memory and thinking,interactive communication and social participation.