阻抗训练联合有氧运动干预老年高血压患者的疗效评价

Evaluation on the Curative Effect of Impedance Training Combined with Aerobic Exercise on Elderly Patients with Hypertension

目的探讨阻抗训练联合有氧运动对老年高血压患者的疗效。方法将136例60~73岁高血压患者随机分为对照组和观察组,每组各68例,在常规服药治疗的前提下,对照组进行有氧运动干预,观察组实施阻抗训练联合有氧运动干预,两组干预时间均为6个月。干预前后分别测评血压及控制、血脂和生存质量,采用t检验和χ~2检验,比较两组血压及控制、血脂和生存质量。结果干预前,两组患者年龄、病程、BMI、血压及控制、血脂和生存质量差异均无统计学意义(P>0.05);干预后,观察组TG、TC、SBP和DBP较对照组显著下降(P<0.05),HDL-C,HDL-C/LDL-C显著上升(P<0.05),观察组血压控制的优良率和控制率均较对照组显著提高(P<0.05),而不良率显著降低(P<0.05);与对照组比较,观察组心理功能、社会功能和生存质量总分明显改善(P<0.05);与干预前比较,两组血压、血脂均得到显著控制(P<0.05),心理功能、社会功能和生存质量总分也有显著改善(P<0.05)。结论在药物治疗基础上,有氧运动、阻抗训练联合有氧运动干预均有助于血压控制,降低血脂和改善生命质量,但阻抗训练联合有氧运动的效果更显著,值得推广应用。

OBJECTIVE To investigate the curative effect of impedance training combined with aerobic exercise on elderly patients with hypertension. METHODS 136 elderly hypertensive patients aged 60~73 years were randomly divided into control group and observation group,68 cases in each group. On the premise of routine medication treatment,the control group was given aerobic exercise intervention,while the observation group was given impedance training combined with aerobic exercise intervention. The intervening time of the two groups was 6 months. Before and after intervention,blood pressure and control,blood lipid and quality of life were evaluated respectively,χ~2 and t test were used. Blood pressure and control,blood lipid and quality of life were compared between these two groups.RESULTS Before intervention,there was no significant difference in age,course of disease,BMI,blood pressure and control,blood lipid and quality of life between these two groups(P>0.05);after intervention,TG,TC,SBP and DBP in the observation group decreased significantly compared with the control group(P<0.05),HDL-C,HDL-C/LDL-C increased significantly(P<0.05);the excellent rate and control rate of blood pressure control in the observation group were significantly higher than the control group(P<0.05). The total scores of psychological function,social function and quality of life in the observation group were significantly improved compared with the control group(P<0.05);blood pressure and blood lipids in these two groups were significantly controlled to a certain extent(P<0.05),and the total scores of psychological function,social function and quality of life were also significantly improved(P<0.05). CONCLUSION On the basis of drug therapy,aerobic exercise and impedance training combined with aerobic exercise intervention could help control blood,while the resistance training had more significant effect,which was worthy of popularization and application.