降压舒心操对高血压患者血压及心理状况的影响

Effect of the exercises of relaxing heart and stepping down blood pressure on the blood pressure and psychology situation of hyperpietic

目的探讨降压舒心操对高血压患者血压及心理状况的影响。方法选取45例高血压患者为研究对象，随机分为实验组23例与对照组22例。实验组采用降压舒心操训练，对照组采用步行训练，同时对两组患者进行健康指导与随访，采用症状自评量表（scL-90）在试验前后对两组患者进行调查，比较两组SCL_90得分及血压情况。结果实验组失访3例，对照组失访2例。实验前两组收缩压与舒张压比较，差异均无统计学意义（P〉0．05），实验后两组间收缩压比较，差异无统计学意义（P〉O．05），实验组舒张压为（82．5±7．8）mmHg低于对照组的（87．8±7．5）mmHg，差异具有统计学意义（t=2．19，P〈0．05）。两组患者试验前SCL-90各因子得分比较，差异均无统计学意义（P〉0．05），实验后实验组焦虑、强迫症状得分分别为（1．52±0．42），（1．55±0．39）分均低于对照组的（1．83±0．42），（1．81±0．41）分，差异均有统计学意义（￡分别为2．33，2．05；P〈0．05）。实验组实验后躯体化、强迫症状得分较实验前均下降，差异均有统计学意义（￡分别为2．29，2．48；P〈0．05），焦虑得分显著下降，差异有统计学意义（t=4．76，P〈0．01）；对照组实验后焦虑得分较实验前降低，差异有统计学意义（t=2．32，P〈0．05）。结论降压舒心操为高血压患者提供廉价、有效、简便的康复训练方法，与步行训练相比在稳定血压、改善心理状况方面具有一定的优势。

Objective To explore the effect of the exercises of relaxing heart and stepping down blood pressure on the blood pressure and psychology situation of hyperpietic. Methods Totals of 40 cases were randomly divided into experimental group（ n = 20）and control group （n = 20）. The experimental group adopted the exercises of relaxing heart and stepping down blood pressure, and control group adopted the walking exercise, all cases received health education and followed up, investigated with SCL-90 before and after intervention, and blood pressure situation were observed. Results There was no significantly difference in the blood pressure before intervention, and systolic blood pressure after intervention between two groups （ P 〉 0.05 ）, while after intervention, the average diastolic pressure of experimental group （ 82.5±7.8 ） mm Hg was significantly lower than of control group （ 87.8±7.5 ） mm Hg, the different was statistically significant （ t = 2.19, P 〈 O. 05 ）. There was no significantly difference in the SCL-90 score before intervention between two groups （ P 〉 O. 05 ）, but after the intervention, the average score of anxiety, compulsion of experimental group （ 1.52±0.42 ） and （ 1.55±O. 39） was significantly lower than that of control group （ 1.83±0.42） and （ 1.81±0.41 ）, and the average score of somatization, compulsion was significantly lower than before intervention in experimental group, and the average score of anxiety was significantly lower than before intervention in control group （P 〈 0. 05 ）. Conclusions The exercises of relaxing heart and stepping down blood pressure is a cheap, effective, simple way to rehabilitation, which is better than walking exercise in stable blood pressure and improve psychology situation.