中等强度温泉运动对高血压颅内外血流动力学影响

Influence of moderate intensity exercise in hot spring on extra-and intracranial hemodynamics in patients with hypertension

目的探讨中等强度温泉运动对中青年原发性高血压患者颅内、外血流动力学的影响。方法 54例中青年原发性高血压患者,行温泉游泳运动治疗4个疗程,比较运动治疗前、后颈动脉及颅内动脉血流参数及血压变化,并与对照组进行比较。结果运动组疗程结束后,与运动前及对照组比较收缩压及舒张压均降低,差异有统计学意义(P<0.01或P<0.05);椎动脉血供明显改善(P<0.01);大脑中动脉、前动脉血供也有改善(P<0.05),大脑后动脉、基底动脉血流各参数显著提高(P<0.01)。结论温泉运动对于中青年原发性高血压患者可改善颅内、外血供,提高脑血氧供应,降低血压,是一种较理想的康复疗养方法。

Objective To discuss the influence of moderate intensity exercise in hot spring on extra-and intracranial hemodynamics in young and middle-aged patients with primary hypertension. Methods Fifty-four young and middle-aged patients with primary hypertension were recruited in this study. The hemodynamic parameters of carotid and intracranial artery and blood pressure were compared before and after swimming in hot spring. Results Compared with control group and with before hot spring swimming, there were significant decreases in systolic pressure and diastolic pressure after hot spring swimming （ P 〈 0.01, P 〈 0. 05 ）. The blood supplies of vertebral artery（ P 〈 0.01 ） , middle cerebral artery and anterior cerebral artery （P 〈 0.05 ） , as well as the hemodynamic parameters of posterior cerebral artery and basilar artery, were significantly improved after hot spring swimming （ P 〈 0.01, P 〈 0.05 ）. Conclusion Hot spring exercise may improve extraand intracranial blood and oxygen supply, and depress blood pressure in young and middle-aged patients with primary hypertension.