限制盐分饮食联合有氧运动在高血压合并冠心病患者中的应用效果

Application Effect of Salt-Restricted Diet Combined with Aerobic Exercise in Patients with Hypertension and Coronary Heart Disease

目的探讨限制盐分饮食联合有氧运动在高血压合并冠心病患者中的应用效果.方法选取2019年4月—2021年3月本院收治的110例高血压合并冠心病患者,按随机抽签法分为对照组和研究组,各55例.对照组给予常规治疗干预,研究组在对照组基础上给予限制盐分饮食联合有氧运动干预.比较两组患者干预前、干预3个月后血压、心率、心血管不良事件发生情况.结果干预3个月后,研究组的舒张压、收缩压均低于干预前,且研究组的舒张压、收缩压均低于对照组,组间差异有统计学意义(P<0.05);研究组1分钟心率恢复(HRR1)、运动峰值心率(HRmax)均高于干预前,且研究组HRR1、HRmax均高于对照组,组间差异有统计学意义(P<0.05);研究组心血管不良事件发生率为5.88%,低于对照组的26.47%,差异有统计学意义(P<0.05).结论限制盐分饮食联合有氧运动应用于高血压合并冠心病患者中,能有效缓解血压,改善心率,降低心血管不良事件的发生率.

Objective To explore the application effect of salt-restricted diet combined with aerobic exercise in patients with hypertension and coronary heart disease.Methods A total of 110 patients with hypertension and coronary heart disease admitted to the hospital from April 2019 to March 2021 were selected,and they were divided into a control group and a study group according to a random lottery method,with 55 cases in each group.The control group was given routine treatment intervention,and the study group was given salt-restricted diet combined with aerobic exercise intervention on the basis of the control group.The blood pressure,heart rate and the incidence of adverse cardiovascular events were compared between the two groups before and after 3 month of the intervention.Results After 3 month of the intervention,the diastolic blood pressure and systolic blood pressure in the study group were lower than those before the intervention,and the diastolic blood pressure and systolic blood pressure in the study group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05);the 1-minute heart rate recovery(HRR1)and peak exercise heart rate(HRmax)in the study group were higher than those before the intervention,and the HRR1 and HRmax in the study group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05);the incidence of adverse cardiovascular events in the study group was 5.88%,which was lower than 26.47%in the control group,and the difference was statistically significant(P<0.05).Conclusion Salt-restricted diet combined with aerobic exercise in patients with hypertension and coronary heart disease can effectively relieve blood pressure,improve heart rate,and reduce the incidence of adverse cardiovascular events.