气功防治高血压远期疗效的对比观察——306例患者25～30年随访

Comparative Observations on Remote Effects of Hypertension Treated with Qigong—Follow-up of 306 Hypertensive Patients for 25-30 Years

306例高血压病人随机分为气功组(气功加规律服用小剂量降压药)154例和对照组(仅规律服用小剂量降压药)152例。25～30年随访发现:气功组血压稳定率为86.56%,对照组血压稳定率为68.87%,气功组疗效较佳。25～30年随访期间气功组总病死率(22.73%)明显低于对照组(40.79%)。进一步分析发现气功组脑卒中发生率为18.83%,病死率为14.29%,而对照组则分别达33.55%和28.95%,气功组明显低于对照组(P<0.01),14项脑卒中危险和防护因子的多因子回归分析,提示脑卒中的发生与坚持气功锻炼呈负相关。以上结果表明气功锻炼具有预防脑卒中和改善高血压预后的有益作用。

306 hypertensive patients were divided randomly into 'Qigong group' (treated with Qigong and small doses of regular antihypertensive drugs n=154) and 'control group' treated with antihypertensive drugs only n=152). 25-30 years follow-up showed that the blood presure steady rate was 86.56% and 68.89% respectivety, much in favor of Qigong group (P<0.01). The accumulative mortality rate during follow-up was 22.73% in Qigong group, significantly lower than 40.79% in control group (P<0.001). Further analysis showed that the incidence of stroke and death due to stroke in Qigong group was 18.83% and 14.29% respectively. Compared with 33.55% and 28.95% in the control group, both rates in Qigong group were significantly lower (P<0.01). Multiple regression analysis of 14 risk or preventive factors showed the incidence of stroke to be correlated negatively with consistent practice of Qigong. The above results indicated that Qigong had played an important role in preventing stroke and improving the prognosis of hypertension.