不同运动量对高血压患者血压、血脂水平及动脉弹性功能变化分析

Analyses the amount of exercise intervention on blood pressure blood lipid levels and arterial elasticity function in patients with hypertensive

目的探讨不同运动量干预对高血压病患者血压、血脂水平及动脉弹性功能的影响。方法选择2009年1月～2010年5月我科体检中无运动禁忌症的高血压病患者180例,随机分为干预组:低运动量组(A组,n=60)、中运动量组(B组,n=60)及对照组(C组,n=60)。在常规改善饮食治疗基础上,A组每周运动3次,每次运动时间30～60min;B组每周运动7次,每次运动时间30～60min;对照组仅接受饮食调节。疗程为4个月,对比分析治疗前与治疗后三组患者的收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、三酰甘油(TG)及动脉弹性功能各项指标的变化差异。结果 A、B组SBP、DPB、TC、TG及动脉弹性功能的改善均明显优于C组,差异有统计学意义(P<0.05),且B组SBP、DPB、TG改善效果优于A组,差异有统计学意义(P<0.05)。运动疗程中,B组有3名患者不能耐受,血压控制不理想,行药物治疗。结论规范运动干预能有效降低高血压病患者动脉压,降低血脂水平,改善动脉弹性功能。

Objective To investigate the amount of exercise intervention on blood pressure blood lipid levels and arterial elasticity function in patients with hypertensive.Methods 180 cases of hypertensive patients in our physical examination department who were randomly divided into three groups： low physical activity group（A group,n= 60）,middle exercise group（B group,n= 60） and control group（C group,n= 60）.In the conventional treatment based on improving the diet,A group exercise three times a week,each time time for 30～60min;B group exercise seven times a week,each time time for 30 ～ 60min; the control group received only dietary modification.,compared with the three groups after treatment,systolic blood pressure（SBP）,diastolic blood pressure（DBP）,total cholesterol（TC）,triglyceride（TG） and arterial elasticity of the index changes difference after 4 months therapy.Results In A and B group,the SBP,DPB,TC,TG and arterial elasticity were significantly higher than C group,the difference was significant（P0.05）.In B group,the SBP,DPB,TG better than A group,the difference was significant（P0.05）.In B group,three patients can not tolerate,blood pressure control is not satisfactory,so who were accepted drug treatment.Conclusion Standardized exercise intervention can reduce the arterial pressure,lipid levels and improving arterial elasticity in hypertensive patients.