24式太极拳对老年原发性高血压患者降压效果及血脂水平的临床疗效评价

Clinical effect assessment of 24-Simplified Taijiquan exercise on the antihypertensive effect of elderly patients with essential hypertension and on their blood lipid level

目的评估24式简化太极拳运动对老年原发性高血压患者(HE)的降压效果及对患者血脂水平的影响,对传统太极拳进行推广。方法采用完全随机临床研究方法,将符合课题组纳入标准的82例高血压患者按随机数表法分为太极拳组和对照组。太极拳组按要求每次练习1 h,3次/周,隔天练习1次,共练习12周,总计36次。对照组按要求每次完成1 h的常规步行,3次/周,隔天步行1次,共练习12周,总计36次。两组受试者均维持原有药物治疗不变,并在干预前后均进行血压、血脂的测量。结果两组患者在进行干预后,太极拳组患者的收缩压(SBP)较入组时降低,差异有高度统计学意义(P<0.01),太极拳组患者的舒张压(DBP)较入组时降低,差异有统计学意义(P<0.05);对照组患者收缩压(SBP)较入组时降低,差异有高度统计学意义(P<0.01),对照组患者的DBP较入组时降低,差异无统计学意义(P>0.05)。太极拳组的总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)值较入组时均降低,差异有统计学意义(P<0.05),对照组的TC、TG、LDL-C的值改变差异无统计学意义(P>0.05)。太极拳组和对照组的HDL-C值均降低,差异有统计学意义(P<0.05);太极拳组TG值改善效果明显优于对照组,差异有统计学意义(P<0.05);TC、LDL-C改善与对照组差异无统计学意义(P>0.05)。结论太极拳运动可以明显改善高血压患者的血压、血脂情况;明显降低高血压患者的SBP、DBP值,对SBP的降低更加明显。太极拳运动适合老年原发性高血压患者长期联系,其对患者的总体益处大于常规步行。

Objective To assess the effect of 24-Simplified Taijiquan exercise on the antihypertensive effect of el-derly patients with essential hypertension（HE） andon the blood lipid level of the patients and to promote the tradition-al Taijiquan.Methods 82 HE patients meeting the requirement of the study were randomly assigned to the Taijiquangroup and the control group.The Taijiquan group wererequired to practice 1 hour per time every other day, 3 timesaweek, witha total of 36 times in 12 weeks.The control group were to walk1 hour per time every other day, threetimes a week, witha total of 36 times in 12 weeks.The medicine treatment of the two groups remain unchanged.Blood pressure and blood lipids of the two groups were measured before and after the intervention.Results The SBPand DBP values of patients in the Taijiquan group were significantly lower after the intervention and the differenceshowed statistical significance（ 〈0.01 and 〈0.05）.The SBP value of patients in the control group lowered and thedifference showed statistical significance（ 〈0.01） after the intervention while the DBP value of patients in the con-trol group lowered and the difference showed no statistical significance（ 〉0.05）.The TC, TG, LDL-C and HDL-C ofthe Taijiquan group were lowered and the difference showed statistical significance（ 〈0.05） while the difference ofTC, TG, LDL-C and HDL-C of the control group of showed no statistical significance（ 〉0.05）.HDL-C values of theTaijiquan and the control group lowered and the difference showed statistical significance（ 〈0.05）.The improvementof TG value of the Taijiquan group was greater than that of the control group and the difference showed statisticalsignificance（ 〈0.05）.The difference of improvement of TC and LDL-C of the Taijiquan group showed no statistical sig-nificance（ 〉0.05） with that of the control group.Conclusion Taijiquan can significantly improve the blood pressureand blood lipids of HE patients, lower their SBP and DBP values witha greater effect on SBP.Taijiquan is suitable forelderly patients with essential hypertension to practice for a long time and its benefits are significant than that of walking.