不同运动方式对蒙古族中年高血压患者血压影响的研究

Influence of Different Exercise Patterns on Blood Pressure in Middle-Aged Mongolian Hypertensive Patients

目的探讨健步走、弹力带和哑铃练习不同运动方式对蒙古族中年高血压患者血压的影响及其可能的机制。方法选取蒙古族中年原发性高血压男性患者21名,随机分为3组,每组7人,分别进行为期13周健步走、弹力带和哑铃练习、健步走+弹力带和哑铃练习等不同运动方式的干预,并测试受试者的相关指标变化。结果与干预前相比,各组受试者身高均无显著性差异,体重及BMI虽有所下降,但均无显著性差异(p>0.05);与干预前相比,各组受试者收缩压、舒张压和脉压均有不同程度的下降,并以收缩压下降最为明显,随着运动干预时间的延长,MSO组受试者血压下降最为显著(p<0.01)。结论采用13周的中低强度的健身走、弹力带和哑铃练习、健身走+弹力带和哑铃练习3种不同的运动干预方式,对蒙古族中年高血压患者的身高、体重和BMI影响不大,但可以有效地降低患者的收缩压、舒张压和脉压,以收缩压下降最明显,并且健身走+弹力带和哑铃练习这种综合运动干预方式的降压效果最显著。

Objective To investigate the effect of walking, elastic band and dumbbell exercises on blood pressure in middle-aged Mongolian hypertensive patients and its possible mechanism. Methods 21 middle-aged Mongolian male patients with essential hypertension, were randomly divided into three groups. All the subjects were treated with low-medium intensity exercise interventions: walking, elastic band and dumbbell exercises, walking+ elastic band and dumbbell exercises respectively for 13 weeks, and the related indicators changes were tested. Results Compared with pre-intervention, there was no significant difference in height, weight and BMI among groups, despite of the decline in weight and BMI (p>0.05). Compared with pre-intervention, the systolic blood pressure, diastolic blood pressure and pulse pressure decreased in different degrees, and the decrease of systolic blood pressure was more obvious, with the prolongation of exercise intervention, the decline of blood pressure in group MSO was the most significant (p<0.01). Conclusion Using 13 weeks of moderate and low intensity fitness walking, elastic band and dumbbell exercise, fitness walking+elastic band and dumbbell exercise has little effect on the height, weight and BMI of middle-aged Mongolian patients with hypertension, but it can effectively reduce the systolic pressure, diastolic pressure and pulse pressure of patients, with the most obvious decrease in systolic pressure, and fitness walking+elastic band and dumbbell exercise. The antihypertensive effect of comprehensive exercise intervention was the most significant.