摘要
目的 探讨有氧踏车运动对老年单纯收缩期高血压（ISH）患者大动脉弹性的影响.方法 选取2012年1～12月期间我院收治的老年ISH患者102例,随机分为2组.A组（52例）给予常规治疗;B组（50例）在常规治疗基础上进行有氧踏车运动,每周3次,每次30 min.疗程均为20周.检测试验前后收缩压、舒张压、高敏C反应蛋白（hs-CRP）、低密度脂蛋白（LDL）和脉搏波传导速度（baPWV）.结果 20周干预后,与治疗前比较,两组收缩压[（145.76±11.52）mm Hg比（165.54±13.87）mm Hg,（141.16±7.69）mm Hg比（162.81±13.26）mm Hg]、舒张压[（65.87±7.20）mm Hg比（72.71±8.16）mm Hg,（67.98±8.21）mm Hg比（71.48±9.18）mmHg]均明显下降,baPWV[（1641.46±119.38）mm/s比（1690.71±124.65）mm/s,（1593.76±112.21）mm/s比（1671.48±138.72）mm/s]减慢,P均＜0.05.与A组对比,B组的收缩压[（141.16±7.69）mm Hg比（145.76±11.52）mmHg]、baPWV[（1593.76±112.21）mm/s比（1641.46±119.38）mm/s]下降更明显,P均＜0.05.结论 有氧踏车运动能够改善老年ISH患者的动脉僵硬度,并有助于其血压的降低.
Objective To explore the effect of aerobic treadmill exercise on arterial elasticity in elder patients with ISH.Methods A total of 102 elderly patients with grade 1 and 2 ISH were randomly divided into A group（n=52） and B group（n=50）.The A group received medicinal treatment.The patients in the B group received medicinal treatment and performed aerobic treadmill exercise,30 min 3 times/week.Both groups were treated for 20 weeks.The levels of plasma hs-CRP,LDL,pulse wave velocity （baPWV）,and blood pressure were compared before and after the experiment.Results Compared with before treatment,after 20-week intervention,level of SBP[（145.76±11.52）mm Hg vs （165.54±13.87）mm Hg,and （141.16±7.69）mm Hg vs （162.81±13.26）mm Hg],DBP [（65.87±7.20）mm Hg vs （72.71±8.16）mm Hg,and （67.98±8.21）mm Hg vs （71.48±9.18）mm Hg] and baPWV [（1641.46±119.38）mm/s vs （1690.71±124.65）mm/s,and （1593.76±112.21）mm/s vs （1671.48±138.72） mm/s] significantly decreased （all P〈0.05）.Compared with the A group,the levels of SBP [（141.16±7.69）mm Hg vs （145.76± 11.52）] and baPWV [（1593.76± 112.21）mm/s vs （1 641.46± 119.38）mm/s] significantly decreased （all P〈0.05）.Conclusion Aerobic treadmill exercise can significantly improve arterial elasticity and has certain antihypertensive effect for elder patients with ISH.
出处
《中国心血管病研究》
CAS
2014年第12期1096-1099,共4页
Chinese Journal of Cardiovascular Research
基金
湖南省科技厅科技计划项目（项目编号：2012FJ3072）
