摘要
目的探讨不同体力活动对老年高血压患者运动血压的影响，为防治高血压提供依据。方法选择老年1级、2级高血压且无并发症患者256例和普通健康老年人256例为研究对象，根据人选患者血压和体力活动水平差异分为高血压低体力活动组（HL组）、高血压中体力活动组（HM组）、健康低体力活动组（NL组）和健康中体力活动组（NM组），比较各组在安静时、运动中和运动后血压的变化。结果HL组和HM组的收缩压和舒张压在安静时、最高峰值和运动后5min均明显高于NL组和NM组相应测量值，差异有统计学意义（收缩压：F=11．846、18．337、10．976，均P〈0．001；舒张压：F=13．182、11．694、11．453，均P〈0．05）；HL组在安静时和运动后5min收缩压和舒张压均明显高于HM组[HL组收缩压：（133．5±15．2）mmHg、（129．4±14．3）mmHg，HL组舒张压：（95．2±11．0）mmHg、（90．2±12．2）mmHg；HM组收缩压：（129．7±17．6）mmHg、（122．1±17．9）mmHg，HM组舒张压：（90．4±10．2）mmHg、（82．7±10．8）mmHg]、收缩压和舒张压的变化幅度[（5．1±3．9）％和（5．1±4．2）％]明显低于HM组[（6．6±5．3）％和（8．2±7．7）％]，且差异有统计学意义（均P〈0．05）。结论适宜和适量的运动有利于改善高血压患者的血压，提高其在运动后血压的恢复能力。
Objectives To investigate the effect of different physical activities on the blood pressure in elderly patients with hypertension,and to provide evidence for the prevention and treatment of hypertension. Methods 256 elderly patients with grade 1,2 hypertension and no other complications, and 256 healthy elderly people were selected as the control subjects. According to the blood pressure and the level of physical activity,the patients were divided into hypertension combined with low physical activity group （HL group）, hypertension combined with middle physical activity group（ HM group）, normal blood pressure combined with low physical activity group（NL group）and normal blood pressure combined with middle physical activity group （NM group）. The changes of blood pressure were compared in quiet,during and after physical activity. Results The diastolic blood pressure（DBP） and systolie blood pressure（SBP） measured at rest, peak exercise and 5 minutes after exercise were significantly higher in group HL and HM group than in NL group and NM group, and the differences between groups were statistically significant（SBP： F= 11,846,18. 337,10. 976, all P〈0. 001 for all;DBP：F=13. 182,11. 694,11. 453,all P〈0. 05）. The DBP and SBP in HL group at rest and 5 minutes after exercise were significantly higher than those in the HM group, and the difference was statistically significant（P〈0. 05）. The change magnitudes of DBP and SBP were significantly lower in HL group than in the HM group,and the differences were statistically significant （P〈 0. 05）. Conclusions Taking part in an appropriate exercise can improve blood pressure level and a recovery capability of post-exercise blood pressure in elderly patients with hypertension.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2017年第2期135-137,共3页
Chinese Journal of Geriatrics
关键词
高血压
运动活动
Hypertension
Motor activity
