[Effect of Baduanjin on quality of life and autonomic nervous response in patients with hypertension]

OBJECTIVE: To explore the impact of fitness Qigong Baduanjin on the quality of life and autonomic nervous response of patients with hypertension, and to provide a theoretical basis for the application of fitness Qigong Baduanjin in scientific fitness and medical care. METHODS: 70 hypertensive patients diagnosed in Kailuan General Hospital from March 2012 to September 2012 were selected as the research subjects. The patients who met the selection criteria were randomly grouped and divided into intervention groups and control groups. The control group was given routine antihypertensive drugs and health guidance (low-salt and low-fat diet, Appropriate exercise but no requirement for exercise time), the intervention group carried out a 24-week eight-week training on the basis of the regular use of antihypertensive drugs and health guidance in the control group. The heart rate, breathing and blood pressure of the two groups of subjects were measured on the first day and 24 weeks after entering the group, followed up the information of hypertension-related complications at the same time, and the two groups of subjects were tested in the first week and 24 weeks after entering the group. During the treadmill exercise test, the patients were monitored and the treadmill exercise test was measured. After the test, the heart rate, breathing, blood pressure, and collect the time required for the highest heart rate, breathing, and blood pressure to return to normal. HRV supporting software is used to analyze ECG signals. The SF-36 scale was used to evaluate the quality of life of hypertensive patients before the experiment and after the intervention of Baduanjin at 24 weeks. Enter all data into the computer, Excel software to establish a database, and various indicator data into the SPSS17.0 software package for statistical analysis. The comparison of the intervention group before and after the intervention group and before and after the intervention group is matched t-tested, the comparison between the intervention group and the control group is tested by independent sample t, the measurement data expression is expressed by the mean ± standard deviation (x±s), and the counting data is tested by chi-square (χ2). RESULTS: 1. There is no difference between the variables of the intervention group and the basic data of the control group (P>0.05). 2. Analysis of the results of the impact of Baduanjin exercise on the quality of life of hypertension patients. There is no difference between the first two groups of intervention. There is a significant difference in the dimensional scores of PF, RP, BP, VT, GH and SF before and after the intervention group (P<0.05). The VT score of the control group itself increased before and after the intervention. The difference has statistical significance (P<0.05). There was a significant difference in the PF, RP, BP and VT dimension scores of the post-intervention intervention group compared with the control group (P<0.05). 3. There was no significant difference between the Static systolic Pressure, diastolic Pressure, pulse pressure difference, heart rate and breathing between the control group and the control group. There was no significant difference between the two groups of immediate (3 minutes) systolic pressure, instant diastolic pressure, instant pulse pressure difference, instant heart rate and instant breathing during the Badanjin intervention pre-intervention plate exercise experiment (P>0.05) After 24 weeks of Baduanjin intervention, the intervention group before and after Baduanjin intervention had a significant decrease in static and immediate systolic blood pressure, diastolic pressure, pulse pressure difference, heart rate and breathing, and the difference was statistically significant (P<0.05); the control group's static systolic pressure decreased before and after the intervention, and the difference was statistically significant (P< 0.05), compared with the control group, the static and immediate systolic blood pressure, diastolic blood pressure, pulse pressure difference, heart rate and breathing decreased significantly, and the difference was statistically significant (P<0.05). 4. There is no significant difference between the number of people who can insist on completing the treadmill exercise experiment and the control group and the time of insisting on the treadmill exercise (P>0.05); after 24 weeks of Baduanjin intervention, the number of people who can insist on completing the tread exercise experiment and the time of insisting on the tread exercise before and after the intervention group are more obvious. The increase is statistically significant (P<0.05); there is no significant difference in the comparison between the control group before and after the intervention (P>0.05). Compared with the control group, the number of people who can insist on completing the treadmill movement experiment and the time to adhere to the treadmill movement have increased significantly, and the difference is statistically significant (P< 0.05). 5. The pre-intervention intervention group of Baduanjin compared with the heart rate variability TP, VLF, LF, HF, LF/HF frequency domain indicators of the control group, there is no significant difference (P>0.05). The heart rate variability frequency domain index of the post-intervention group of Baduanjin intervention group VLF, LF, LF/HF is lower than Control group, in which there was a significant difference between the intervention group and the control group in the LF/HF index (P<0.05). The heart rate variability frequency domain indicators TP and HF of the intervention group were higher than the control group, and there were significant differences in the HF index in the two groups (P<0.05). 6. There was no significant difference in peak systolic blood pressure, peak diastolic blood pressure, peak heart rate and peak breathing between the treadmill exercise experiment of the Badanjin pre-intervention group and the control group (P>0.05), and there was no significant difference in systolic blood pressure, diastolic blood pressure, heart rate and respiratory recovery time after the treadmill exercise experiment (P>0.05). After 24 weeks of eight-stage brocade intervention, there were significant differences in peak systolic blood pressure, peak diastolic blood pressure, peak heart rate and peak breathing before and after the intervention (P<0.05). There were significant differences in systolic blood pressure, diastolic blood pressure, heart rate and breathing recovery time after the slatating exercise experiment ( P<0.05). Compared with the control group, there were significant differences in peak systolic blood pressure, peak diastolic blood pressure, peak heart rate and peak breathing in the control group (P<0.05). After the intervention, there were significant differences in systolic blood pressure, diastolic blood pressure and heart rate recovery time after the slate exercise experiment of the two groups (P<0.05), and breathing recovery There is no significant difference in compound time (P>0.05). 7. After the stimulation of gender-layered events, the indicators of the intervention group and the control group returned to the pre-event stimulus level. Compared with the time of systolic blood pressure and diastolic blood pressure in men and women, there was no significant difference in the recovery time of breathing and heart rate (P>0.05). The peak index of the intervention group and the control group compared that there was only difference between peak systolic blood pressure and peak heart rate (P<0.05) in the male population, while there was no difference between peak breathing and peak diastolic pressure (P>0.05), and only peak diastolic blood pressure in the female population (P<0.05), while peak breathing, peak systolic blood pressure and peak heart rate There is no difference in rate (P>0.05). 8. After the age-level event stimulation, the indicators of the intervention group and the control group recovered to the level before the event stimulation. The time for systolic blood pressure, breathing and heart rate to recover from the peak to the level before the event stimulus in the population ≤ 60 years old was less than that in the control group, and there were statistical differences (P<0.05). The time difference between systolic blood pressure and heart rate from the peak to the pre-event stimulus level in people aged 60 is statistically significant (P<0.05). The difference between the peak systolic pressure and peak heart rate of the population aged ≤ 60 is statistically significant (P<0.05), while the difference between the peak systolic blood pressure of the population aged > 60 is statistically significant (P<0.05). 9. After the stratified event stimulation according to the blood pressure level, the indicators of the level 1 hypertensive population returned to the pre-event stimulus level. The time intervention group of systolic blood pressure, diastolic blood pressure and heart rate recover from the peak to the pre-event stimulus level is smaller than the control group, and there are statistical differences (P<0.05). Compared with the control group of the intervention group of the group with grade 2 hypertension, only the time difference between the recovery of systolic blood pressure from the peak to the level before the event stimulation is statistically significant (P<0.05). Compared with the peak indicators of the intervention group of the level 1 hypertension group and the control group, the difference between peak systolic blood pressure, peak diastolic blood pressure and peak heart rate was statistically significant (P<0.05), while there was no significant difference in peak breathing. The difference between the two groups of level 2 hypertension compared with peak systolic pressure, peak diastolic blood pressure and peak heart rate was statistically significant. (P<0.05), there is no significant difference in peak breathing. 10. There was no difference between the pre-intervention intervention group and the control group researchers (P>0.05). After 24 weeks of Baduanjin exercise, the intervention group itself and the intervention group compared with the control group compared the static and emergency AngII levels of the researchers (P<0.05). CONCLUSION: Ba Duanjin exercise can improve the activity endurance of patients with hypertension and improve the quality of life of patients with hypertension. 2 Long-term Baduanjin exercise can enhance the autonomic nerve regulation function of patients with hypertension when resting, and can improve the autonomic nerve response of hypertensive patients under the stimulation of events.