运动疗法对高血压病患者心室重构的效果评价

Effectiveness of exercise therapy on ventricular remodeling in patients with essential hypertension

目的:探讨运动疗法治疗高血压病的效果及对心室重构指标的影响。方法:选取高血压患者血压控制不佳者共90例,随机分为2组。对照组仅采用常规药物治疗;观察组则在常规药物治疗的基础上,测定个体运动负荷,确定个体化的运动方式、运动强度、运动时间、运动频率,制定相应的运动处方。结果:治疗6个月后,观察组患者的血压(BP)、室间隔厚度(IVS)、左室后壁厚度(LVPW)和左室舒张末期内径(LVDd)均较对照组降低(P<0.05);2组患者均无明显不良反应。结论:运动疗法治疗高血压病是有效和安全的。

Objective： To investigate the effectiveness of exercise therapy on hypertension and its influence on the indexes of ventricular remodeling. Methods： A total of 90 hypertensive patients with poor blood pressure control were randomly divided into two groups. The control group only received routine drug therapy; besides routine therapy,the observation group received examination of individual exercise load; individual exercise way,exercise intensity,exercise time,and exercise frequency were determined,and then corresponding exercise prescription was formulated. Results： After 6-month treatment,patients in the observation group demonstrated lower blood pressure（ BP）,interventricular septal thickness（ IVS）,left ventricular posterior wall thickness（ LVPW） and left ventricular end diastolic diameter（ LVDd） than those in the control group（ P 〈 0. 05）; no obvious adverse reactions were found in both groups. Conclusion： Exercise therapy is effective and safe in the treatment of hypertension.