Study on the influence of Baduanjin joint broadcast gymnastics on the related indexes and prognosis of patients with chronic heart failure

LI Jie; LIU Xi-jin; XU Yan-mei; GUO Hao; FENG Yu-bao

doi:10.3969/j.issn.1672-5301.2024.03.016

Abstract：Objective To evaluate the impact of Baduanjin joint broadcast gymnastics on the associated indices and the prognosis of patients with chronic heart failure(CHF).Methods A total of 100 patients with chronic heart failure admitted to Ordos Central Hospital from October 2022 to October 2023 were selected as the study objects.The study objects were split into two groups of 50 cases each,the control group and the experimental group,using the random number table technique.The two groups received standard medication therapy.Based on this,the control group was given conventional exercise rehabilitation treatment,the experimental group was given Baduanjin joint broadcast gymnastics rehabilitation treatment,both groups were treated for 6 months,and the relevant indexes of heart color ultrasound,cardiopulmonary exercise test,NT-proBNP level and the incidence of MACE were compared between the two groups before and after intervention.Results Before exercise rehabilitation treatment,there was no statistical difference between the control group and the experimental group(P>0.05);After 6 months of treatment,left ventricular ejection fraction(LVEF)and left ventricular short axis shortening rate(LVFS)in experimental group were significantly higher than before treatment(P<0.05),NT-proBNP and left ventricular end-diastolic diameter(LVEDD)were significantly lower than before treatment(P<0.05);LVEF and LVFS in control group were significantly higher than before treatment(P<0.05),NT-proBNP was significantly lower than before treatment(P<0.05),and LVEDD had no significant change compared with before treatment(P>0.05);The LVEDD and NT-proBNP of experimental group were significantly lower than those of control group[(54.33±6.58)mm vs.(58.60±5.23)mm,(1037.37±352.94)pg/ml vs.(1503.86±610.97)pg/ml,P<0.05].LVEF and LVFS were significantly higher than control group[(51.89±4.98)%vs.(47.98±5.86)%,P<0.05].MET,Peak VO2/kg and Peak O2 pulse in experimental group were significantly higher than before treatment(P<0.05).In control group,MET and Peak O2 pulse were significantly higher than before treatment(P<0.05),and Peak VO2/kg had no significant change compared with before treatment(P>0.05);MET,Peak VO2/kg and Peak O2 pulse of experimental group is significantly higher than the control group[(5.52±0.99)vs.(4.59±0.70),(16.37±1.71)ml·kg-1·min-1 vs.(15.36±1.44)ml·kg-1·min-1,(9.87±1.68)ml/beat vs.(9.15±1.60)ml/beat,P<0.05].The incidence of MACE in experimental group was not statistically significant compared with control group(P>0.05).Conclusion Compared with conventional exercise rehabilitation treatment,Baduanjin United broadcast gymnastics rehabilitation treatment may be able to improve the cardiorespiratory fitness,exercise tolerance,and prognosis of patients with CHF more than conventional rehabilitation therapy.