摘要
目的研究康复运动对老年高血压患者晨峰血压及心脏功能的影响。方法选取2019年5月-2020年5月在我院诊治的94例老年高血压患者为研究对象,采用随机数字表法分为对照组和观察组,各47例。对照组给予常规药物治疗,观察组在对照组基础上联合康复运动治疗,比较两组晨峰血压水平、心脏功能指标、6 min步行距离、自感劳累评分以及生活质量评分。结果治疗后,两组晨峰收缩压、舒张压低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组IVST、LVPWT低于治疗前,LVEF高于治疗前,且观察组IVST、LVPWT低于对照组,LVEF高于对照组,差异有统计学意义(P<0.05)。观察组6 min步行距离大于对照组,自感劳累评分低于对照组,差异有统计学意义(P<0.05)。观察组心理健康、社会功能、活力、情感职能各维度评分高于对照组,差异有统计学意义(P<0.05)。结论康复运动可降低老年高血压患者晨峰舒张压和收缩压,改善心功能,增加运动耐量及机体免疫力,进而提高患者的生活质量。
Objective To study the effect of rehabilitation exercise on morning blood pressure and cardiac function in elderly patients with hypertension.Methods A total of 94 elderly patients with hypertension diagnosed and treated in our hospital from May 2019 to May 2020 were selected as the study subjects.They were divided into control group and observation group by random number table method,with 47 cases in each group.The control group was treated with conventional drug therapy,and the observation group was treated with rehabilitation exercise on the basis of the control group.The morning blood pressure level,cardiac function index,6-min walking distance,self-perceived fatigue score and quality of life score were compared between the two groups.Results After treatment,the morning peak systolic pressure and diastolic pressure in the two groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05);IVST and LVPWT in the two groups were lower than those before treatment,LVEF was higher than that before treatment,and IVST and LVPWT in the observation group were lower than those in the control group,LVEF was higher than that in the control group,the difference was statistically significant(P<0.05).The 6-min walking distance of the observation group was greater than that of the control group,and the self-perceived fatigue score was lower than that of the control group,the difference was statistically significant(P<0.05).The scores of mental health,social function,vitality and emotional function in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation exercise can reduce morning peak diastolic and systolic blood pressure in elderly hypertensive patients,improve cardiac function,increase exercise tolerance and body immunity,and thus improve the quality of life of patients.
作者
杨洁
YANG Jie(Department of Rehabilitation Medicine,Tianjin Jinghai District Hospital,Tianjin 301600,China)
出处
《医学信息》
2021年第22期109-111,共3页
Journal of Medical Information
关键词
康复运动
高血压
晨峰血压
心脏功能
Rehabilitation exercise
Hypertension
Morning peak blood pressure
Cardiac function
