坐式八段锦锻炼结合健康教育对社区老年高血压患者降压疗效的影响

Influence of the effect of seating Baduanjin exercise combined with health education on the antihypertensive effect of elderly hypertensive patients in the community

目的:观察坐式八段锦锻炼结合健康教育干预社区老年高血压患者的降压疗效。方法:将64例老年高血压患者分为对照组和试验组各32例。试验组男性12例,女性20例,平均年龄(68.04±9.69)岁,对照组男性11例,女性21例,平均年龄(65.71±8.71)岁。对照组患者按照病情服用降压药物,试验组患者在对照组的基础上进行坐式八段锦练习,同时进行高血压相关健康教育。观察两组患者干预后收缩压、舒张压、脉压差、中医证候积分的变化。结果:干预后试验组患者的收缩压、舒张压比干预前有明显下降(P<0.05);对照组患者收缩压较干预前有明显下降(P<0.05),舒张压的差异无统计学意义(P>0.05)。试验组患者的脉压差较干预前有所减小(P<0.05),对照组患者干预前后的脉压差差异无统计学意义(P>0.05)。干预前和干预第一疗程结束时两组中医证候积分差异无统计学意义(P>0.05),干预第二疗程结束时两组中医证候积分差异有统计学意义(P<0.05)。结论:坐式八段锦结合健康教育有助于降低老年高血压患者的血压,减少脉压差,改善中医证候,提高生活质量。

Objective:To observe the antihypertensive effect of sitting Baduanjin exercise combined with health education in the intervention of the elderly hypertension patients in the community.Methods:Sixty-four elderly patients with hypertension were divided into a control group and an experimental group with 32 cases in each group.There were 12 males and 20 females in the experimental group with the average age of(68.04±9.69)years and there were 11 males and 21 females in the control group with the average age of(65.71±8.71)years.The patients in the control group took antihypertensive drugs according to their condition,and the experimental group performed sitting Baduanjin exercises on the basis of the control group,as well as health education related to hypertension.The changes of systolic blood pressure,diastolic blood pressure,pulse pressure difference,and TCM syndrome scores in the two groups after intervention were observed.Results:After intervention,the systolic and diastolic blood pressures in the experimental group were significantly lower than before intervention(P<0.05);the systolic blood pressure in the control group was significantly lower than that before the intervention(P<0.05),and the difference in diastolic blood pressure was not statistically significant(P>0.05).The pulse pressure difference in the experimental group was smaller than that before the intervention(P<0.05),and the difference between the pulse pressure before and after the intervention in the control group was not statistically significant(P>0.05).There were no significant differences in TCM syndrome scores between the two groups before the intervention and at the end of the first course of intervention(P>0.05), andat the end of the second course of intervention, the difference in TCM syndrome scores between the two groups was statisticallysignificant(P<0.05). Conclusion: Sitting Baduanjin combined with health education can help lower blood pressure in elderlypatients with hypertension, reduce pulse pressure difference, improve their TCM syndromes and enhance their quality of life.