首页|12周太极心脏康复方案对冠心病患者炎症因子及黏附分子的影响

12周太极心脏康复方案对冠心病患者炎症因子及黏附分子的影响

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目的:观察12周太极心脏康复方案(以下简称心康方案)和常规运动康复方案对冠心病患者炎症因子及黏附分子的影响.方法:于2020年10月至2021年11月,在北京朝阳区安贞社区服务中心、山东淄博万杰康复医院共同招募46例冠心病患者,按1∶1比例随机分为试验组(n=23)和对照组(n=23),最终完成整个试验的患者为34例,试验组14例,对照组20例.采用太极心康方案干预试验组,采用常规运动康复方案干预对照组,每周干预3次,每次60min,共计干预12周,其中包括4周医院院内康复和8周远程线上的居家康复.在干预前后检测炎症因子和黏附分子.结果:12周干预后,两组C-反应蛋白(CRP)、白介素-6(IL-6)、血管细胞黏附分子(VCAM-1)、细胞间黏附分子(ICAM-1)较干预前均显著下降(P<0.01);太极心康方案组抗炎因子白介素-10(IL-10)较干预前显著上升(P<0.01).干预前两组组间比较各指标均无显著性差异(P>0.05),干预后太极心康方案组VCAM-1显著低于常规运动康复方案组(P<0.05)o结论:12周太极心康方案和常规运动康复方案干预,均能有效降低冠心病患者促炎因子CRP、IL-6水平和黏附分子ICAM-1、VCAM-1水平.与常规运动康复方案相比,太极心康方案可有效提高抗炎因子IL-10水平,显著减少黏附分子VCAM-1的表达,对调控冠心病患者机体促炎与抗炎平衡,改善机体抗黏附能力具有更积极的作用.
Effects of 12 week Tai Chi cardiac rehabilitation programs on inflammatory factors and adhesion mole-cules in patients with coronary artery disease
0bjective:To observe The effects of 12-week Tai Chi Cardiac Rehabilitation Programme(TCCRP)and conven-tional exercise rehabilitation program(CERP)on inflammatory factors and adhesion molecules in patients with coronary heart disease(CHD).Method:Forty-six patients with CHD were jointly recruited from Anzhen Community Service Center at Bei-jing Chaoyang District and Wanjie Rehabilitation Hospital at Shandong Zibo from Oct.2020 to Nov.2021,and were randomly divided into the TCCRP group(n=23)and the CERP group as the control group(n=23)ac-cording to a 1∶1 ratio.Thirty-four patients completed the whole program,14 patients in the TCCRP group and 20 patients in the CERP group.All program were 60 min per time,3 times a week for a total of 12 weeks,including 4 weeks of in-hospital rehabilitation and 8 weeks of remote on-line home-based rehabilita-tion.Inflammatory factors and adhesion molecules were detected before and after the intervention.Result:After 12 weeks of intervention,C-reactive protein(CRP),interleukin 6(IL-6),vascular cell adhe-sion molecule(VCAM-1),and intercell adhesion molecule(ICAM-1)all decreased significantly(P<0.01).The anti-inflammatory factor interleukin 10(IL-10)increased significantly in the TCCRP group(P<0.0l).There was no significant difference between the two groups before the intervention(P>0.05),and the VCAM-1 in the TCCRP group was significantly lower than the CERP group after the intervention(P<0.05).Conclusion:In patients with coronary heart disease,the 12-week TCCRP and CERP intervention can effectively reduce the levels of pro-inflammatory factors CRP,IL-6 and adhesion molecules ICAM-1 and VCAM-1.The TC-CRP can effectively improve the level of anti-inflammatory factor IL-10 and reduce the expression of adhesion molecule VCAM-1 compared with CERP,which indicate a more positive effect on regulating the balance between pro-inflammatory and anti-inflammatory factors and improving the anti-inflammatory and anti-adhesion ability.

Tai Chi cardiac rehabilitation programmeconventional exercise rehabilitation programcoronary ar-tery diseasepro-inflammatory factorsanti-inflammatory factorsadhesion molecule

魏秋阳、彭芳、李亚梦、崔美泽、刘明宇、房辉、张建伟、陈在浩、刘林利、付嘉豪、李浩杰、马雨鑫、张行、吕韶钧

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北京师范大学体育与运动学院,北京市,100875

江苏大学体育部

北京大学体育教研部

太极心脏康复方案 常规运动康复方案 冠心病 促炎因子 抗炎因子 黏附分子

2024

中国康复医学杂志
中国康复医学会

中国康复医学杂志

CSTPCD北大核心
影响因子:2.026
ISSN:1001-1242
年,卷(期):2024.39(12)