中低强度体育锻炼对社区高血压患者康复疗效分析

Rehabilitative Effect of Mild to Moderate Exercise Training on Hypertensives in Community

目的 :探讨以中低强度为主的锻炼方法对社区高血压患者的康复疗效。方法 :对 70名坚持进行中低强度体育锻炼及 67名不进行锻炼的社区高血压患者进行为期 1年的随访 ,比较其血压变化情况 ,并对锻炼组中 48名记录完整的高血压患者的血压及医疗费用支出的变化情况进行分析。结果 :经过 1年的体育锻炼 ,锻炼组高血压患者的收缩压 (SBP)与舒张压 (DBP)分别较对照组高血压患者降低 5 5 7± 2 2 9mmHg和 3 5 3± 1 3 9mmHg。锻炼组高血压患者在锻炼 1个月后收缩压和舒张压较锻炼前有显著性的降低 ,在锻炼后 3个月、6个月、9个月和 1 2个月血压下降稳定 ;肺活量较锻炼前有所改善 ;锻炼最后 1个月用于高血压治疗的月均医疗费用支出较开始锻炼 3个月约降低 40元。结论 :高血压患者在社区中开展中低强度的体育锻炼可以取得较好的控制血压和强身健体的效果 。

Objective To explore the rehabilitative effect of mild to moderate exercise training on hypertensives in community. Methods A prospective controlled trial was conducted comparing a mild to moderate exercise regimen with 70 hypertensives to a control regimen with 67 patients . Blood pressure, constitution index, medical expenses were measured and recorded in the study. Results After 12 months of exercise training, subjects in the exercise group exhibited a reduction of 5 57±2 29mmHg and 3 53±1 39mmHg for systolic and diastolic blood pressure respectively, compared with the subjects in the control group. Among the exercise group, the blood pressure declined steadily during the course of exercise training, meanwhile, the vital capacity was improved and the mean medical expense for antihypertensive medication was lowered by about RMB 40 Yuan per month. Conclusion Mild to moderate exercise training can lower blood pressure level in patients with established hypertension and contribute to the management of medical expense among community inhabitants.