李杰 陈阳 许军

摘   要：目的  探討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。

关键词：太极拳运动;稳定性心绞痛;CRP;心脏功能

中图分类号：R541.4                                   文献标识码： A                              DOI：10.3969/j.issn.1006-1959.2018.16.021

文章编号：1006-1959（2018）16-0075-03

Effect of Taijiquan Exercise on Elderly Patients with Stable Angina Pectoris

LI Jie，CHEN Yang，XU Jun

（Department of Cardiovascular Diseases，Subject Two，Weifang Traditional Chinese Medicine Hospital，Weifang 261041，Shandong，China）

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.

Key words：Taijiquan exercise;Stable angina pectoris;CRP;Cardiac function

冠状动脉粥样硬化性心脏病（coronary artery heart disease，CHD）是冠状动脉血管发生动脉粥样硬化病变而引起血管腔狭窄或阻塞，造成心肌缺血、缺氧或坏死而导致的心脏病，常常被称为“冠心病”。冠心病已成为老年人群中主要死亡原因之一，目前对冠心病的主要治疗方式包括药物治疗和血运重建术。但冠脉再狭窄和心脏事件的发生多年来一直是心血管病领域的热门话题。近年来国内外已有相关研究[1，2]显示，以运动为基础的康复运动能改善PCI术后患者的心功能、减少支架内再狭窄的发生。而对以传统运动方式为基础的康复运动如八段锦、太极拳等对老年稳定性心绞痛的研究尚少。本研究通过对老年稳定性心绞痛患者进行太极拳训练，旨在探讨太极拳运动对老年稳定性心绞痛患者的影响。

1资料与方法

1.1一般资料  选取2015年10月～2017年3月在潍坊市中医院门诊或住院的患者100例，本次研究经过医院伦理委员会批准。……