青岛海滨疗养因子结合运动疗法对老年高血压患者心率变异性影响的研究.DOCVIP

临床医学论文-青岛海滨疗养因子结合运动疗法对老年高血压患者心率变异性影响的研究 【摘要】? 目的 研究青岛海滨疗养因子结合运动疗法对老年高血压患者心率变异性(HRV)的影响。方法 选择50例老年原发性高血压患者给予青岛海滨疗养因子结合运动疗法5周，记录并比较此疗法治疗前后血压和HRV 5项时域指标，并与40例老年健康对照组比较。结果 与对照组相比，老年高血压患者治疗前HRV 5项时域指标均有显著性降低（P0.05）。治疗后血压从（20.4±1.1）/（11.7±1.0）kPa下降至（17.7±1.0）/（10.0±1.1）kPa，和治疗前HRV 5项时域指标比较均有显著性增高（P0.05）。结论 老年高血压患者采用青岛疗养因子结合运动疗法可降低血压，同时提高心率变异指标，改善自主神经功能。 【关键词】? 疗养因子 运动疗法 原发性高血压 心率变异性 ??? 【Abstract】? Objective???? To observe the effect of seaside comprehensive convalescence factors in Qingdao combined with exercise therapy on heart rate variability(HRV)of the aged patients with hypertension. Methods牋?50 a0ged patients with primary hypertension were given seaside comprehensive convalescence factors in Qingdao combined with exercise therapy for 5 weeks. The changes of five HRV indexes and blood pressure were tested before and after treatment respectively.They were compared with aged control group (40 cases).Results牋?Five HRV indexes of the aged hypertension group before treatment were lower than the control group (P0.05).The blood pressure of the patients was reduced form(20.4?.1)/(11.7?.0)kPa to(17.7?.0)/(10.0?.1)kPa?after treatment.The five HRV indexes of the aged hypertension group after treatment were higher than those before treatment (P0.05).Conclusion牋?The seaside comprehensive convalescence factors in Qingdao combined with exercise therapy has an excellent effect on the aged patients with primary hypertension, which can reduce the blood pressure level, decrease HRV indexes and improve autonomic nerve function. ??? 【Key words】??? Seaside comprehensive convalescence factors;Exercise therapy;Primary hypertension;Heart rate variability ??? 高血压是危害人类健康的疾病之一，虽然高血压病的发生机理至今还不十分清楚，但交感神经系统兴奋性增强的作用已基本得到了肯定，自主神经系统功能异常在高血压的发生发展中起着重要的作用，而心率变异(HRV)可作为评定植物神经对心脏调节的无创指标[1,2] 。我们拟以心率变异性为指标观察老年高血压病患者应用青岛海滨疗养因子结合运动治疗前后的变化，探讨青岛海滨疗养因子结合运动疗法对高血压病的干预作用。 ??? 1??? 资料与方法 ??? 1.1??? 研究对象??? 高血压治疗组：选择2006年5月～10月我院住院治疗的原发性高血压老年患者58例，其中男性41例，女性17例，年龄65～81岁，平均（70.4±6.9）岁，病程8～25年，平均15.7年。排除继发