有氧踏车运动对老年ish患者大动脉弹性作用 - 《中国心血管病研究 .docVIP

有氧踏车运动对老年单纯收缩期高血压患者大动脉弹性的影响 Effect of the aerobic treadmill exercise on arterial elasticity in patients with elder isolated systolic hypertension 杨志伟 徐佳 董波 曾令忠 沈丹萍 基金项目：湖南省科技厅科技计划项目2012FJ3072） 作者单位：410016 湖南省长沙市，湖南省老年医院心血管内科 【摘要】目的 探讨有氧踏车运动对老年单纯收缩期高血压（ISH）患者大动脉弹性的影响。方法：选取2012年1月至2012年12月期间我院收治的老年ISH患者102例，随机分为两组。A组（52例）：给予常规治疗；B组（50例）：在常规治疗基础上给予有氧踏车运动，每周3次，每次30 min，疗程均为20周。检测试验前后收缩压、舒张压、高敏C反应蛋白（hsCRP）、低密度脂蛋白（LDL）、脉搏波传导速度(baPWV)。结果20周干预后，与治疗前比较，两组收缩压、舒张压均明显下降，baPWV减慢，P均0.01。与A组对比， B组的收缩压、baPWV下降的更明显，P均0.05。结论：有氧踏车运动能够改善老年ISH患者的动脉僵硬度，并有助于其血压的降低。 【关键词】：老年；单纯收缩期高血压；脉搏波传导速度；有氧运动；功率自行车 Effect of the aerobic treadmill exercise on arterial elasticity in patients with elder isolated systolic hypertension YANG Zhi-wei, XU Jia, DONG Bo, et al.Department of Cardiovascular Medicine, Hunan Provincial Geriatric Hospital, Changsha410016, China 【Abstract】 Objective To explore the effect of aerobic treadmill exercise on arterial elasticity in elder patients with ISH. Methods A total of 102 elderly patients with grade 1 and 2 ISH were randomly divided into A group（n=52）and B group (n=50). The A group received medicinal treatment. The patients in the B group received medicinal treatment and performed aerobic treadmill exercise, 30min 3 times /week. Both groups were treated for 20 weeks. The levels of plasma hsCRP, LDL, Pulse Wave Velocity(baPWV), and bood pressure were compared before and after the experiment. Results Compared with before treatment, after 20-week intervention, level of SBP, DBP and baPWV significantly decreased, P0.05 all. Compared with the A group, the levels of SBP and baPWV significantly decreased (P0.05 ). Conclusion Aerobic treadmill exercise can significantly improve arterial elasticity and has certain antihypertensive effect for elder patients with ISH. 【Key words】 Elderly; Isolated systolic hypertension; Pulse Wave Velocity; Aerobic exercise; Cycle ergometer 高血压是一种常见病、多发病，特别在老年人群中发病率较高，据统计，我国老年人群高血压患病率高达49%，老年高血压患者总数量居世界首位。老年高血压的突出特点为，单纯收缩期高血压居多，占老年高血压患者的半