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体育锻炼对社区高血压患者康复中长期效果的影响

The Impacts of Physical Exercise on the Middle- and Long-term Effects of the Rehabilitation of Patients with Hypertension in Community
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摘要 目的研究探讨体育锻炼对社区高血压患者康复中长期效果的影响.方法选取2019年5月—2020年5月收治的104例社区高血压患者为研究对象,按照奇偶数法分为对照组和观察组,每组52例.其中,对照组遵医嘱服用降压药物,治疗期间健康作息;观察组在此基础上联合实施体育锻炼.干预1年后,评估两组干预效果.结果干预前,两组收缩压、舒张压、体重对比,差异无统计学意义(P>0.05);干预后,两组收缩压、舒张压、体重均有改善;观察组干预后的收缩压、舒张压、体重明显低于对照组,差异有统计学意义(P<0.05).干预前,两组D-D、vWF、FIB、BNP水平对比,差异无统计学意义(P>0.05);干预后,两组D-D、vWF、FIB、BNP水平均有改善;观察组干预后的D-D、vWF、FIB、BNP水平明显优于对照组,差异有统计学意义(P<0.05).结论社区高血压患者常规用药治疗期间,联合实施体育锻炼,可有效提高患者的康复效果,改善患者的血压水平、体重水平、血栓前状态分子标志物,间接达到预防高血压并发症的目的,值得推广. Objective To study and explore the mid-and long-term effects of physical exercise on rehabilitation of patients with hypertension in the community.Methods A total of 104 patients with hypertension in the community who were admitted to the hospital from May 2019 to May 2020 were selected as the research objects.They were divided into a control group and an observation group according to the odd-even method,with 52 patients in each group.Among them,the control group took antihypertensive drugs to treat the disease directed by the doctor,and took a healthy rest during the treatment.On this basis,the observation group carried out physical exercise.After 1 year of intervention,the two groups of patients were evaluated for intervention effects.Results Before intervention,the differences in systolic blood pressure,diastolic blood pressure,and body weight between the two groups were not statistically significant(P>0.05);after intervention,the two groups of systolic blood pressure,diastolic blood pressure,and body weight were improved;the systolic blood pressure,diastolic blood pressure,and weight of the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).Before intervention,the differences in the levels of D-D,vWF,FIB and BNP between the two groups were not statistically significant(P>0.05);after intervention,the levels of D-D,vWF,FIB and BNP in the two groups all improved;the D-D,vWF,FIB and BNP levels in the observation group were significantly better than those in the control group,the differences were statistically significant(P<0.05).Conclusion During the routine treatment of hypertension patients in the community,the joint implementation of physical exercise can effectively improve the rehabilitation effect of patients,improve the blood pressure level,weight level,and molecular markers of prethrombotic state of the patients,which can indirectly achieve the purpose of preventing hypertension complications.
作者 刘学华 LIU Xuehua(Health Center of Beikuo in Lanshan District,Rizhao City,Rizhao Shandong,276809,China)
出处 《反射疗法与康复医学》 2020年第16期4-6,共3页 Reflexology And Rehabilitation Medicine
关键词 体育锻炼 遵医嘱用药 高血压 Physical exercise Use medicine as directed by a doctor Hypertension
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