运动锻炼联合矿泉浴对原发性高血压患者血压血脂影响.docVIP

运动锻炼联合矿泉浴对原发性高血压患者血压血脂影响 　　【摘 要】 目的 研究运动锻炼联合矿泉浴对原发性高血压患者血压、血脂的影响。方法 将78例高血压患者随机分为运动组和对照组。运动组在常规药物治疗的基础上进行低强度有氧运动并在锻炼后加做矿泉浴;对照组常规药物治疗。结果两组治疗8周后评定疗效,两组治疗前后血压、血脂组内比较P0.01～0.05,组间比较P0.01,均有统计学意义。结论 采用运动锻炼联合矿泉浴治疗高血压病,能显著降压、降脂,有利于延缓动脉粥样硬化的发生和发展,减少血栓栓塞性心脑血管事件的发生。 　　【关键词】 运动锻炼;矿泉浴;原发性高血压 　　【Abstract】 ObjectiveTo study the effect of exercises combined with mineral bath on blood pressure and lipid in patients with primary hypertension. Methods 78 cases of hypertension were randomly divided into exercise group and control group. Patients in the exercise group were treated by low intensity aerobatic exercise following mineral bath on the basis of conventional medical treatment .Patients in the control group were treated by conventional medical treatment.ResultsThe curative effect in the two groups was evaluated 8 weeks after the treatment. The difference of the level of blood pressure and lipid of both groups before and after treatment was significant(P0.01~0.05).There were statistical differences between the two groups in the level of blood pressure and lipid after the treatment (P0.01).ConclusionIn the treatment of hypertensive disease, exercises combined with mineral bath can reduce blood pressure and lipid. It is helpful to delay the development and progress of atherosclerosis and decrease the incidence of cerebral thromboembolism. 　　【Key words】 Exercise;Mineral bath;Primary hypertension 　　 　　高血压不仅是一种血液动力学异常疾病,同时也是一种代谢紊乱性疾病,包括糖、脂质的代谢障碍,尤其是胰岛素抵抗。据研究认为,高血压早期就存在胰岛素抵抗与脂肪代谢异常[1]。有氧运动能降低高血压病患者的危险因素,同时调整患者的脂代谢紊乱,改善患者胰岛素敏感性;大部分矿泉均有降低血脂、血糖,调节血压的作用,常作为防治心血管疾病的一种方法。我们采用运动锻炼联合矿泉浴辅助治疗原发性高血压患者,观察其血压、血脂的变化,现报告如下。 　　 　　1资料与方法 　　 　　1.1研究对象入选对象均为2000年7月～2006年5月入院的疗养员,72例高血压患者符合1999年WHO/ISH高血压治疗指南中的高血压病诊断标准,其中男47例,女25例;年龄33～62岁,平均43.4岁;平均病程1.7～8.4年。其中1级高血压44例,2级高血压28例。参照1997年我国制订的血脂异常防治建议作为血脂异常的诊断标准[2],血清总胆固醇(total cholesterol,TC)≥5.23 mmol/L和(或)三酰甘油(trriglyceride,TG)≥1.70 mmol/L作为入选条件。合并血脂异常患者44例,其中男28例,女16例;年龄36～62岁,平均46.3岁;TC≥5.23 mmol/L患者26例,TG≥1.70 mmol/L患者38例。将患者随机分为两组,运动组(36