肥胖患者运动性高血压的临床研究  

Exercise Induced Hypertension in Obesity

作　　者：曹悦鞍[1] 彭朝胜[1] 龙南展[1] 夏菁[1] 毛丽华[1] 

机构地区：[1]海军总医院干三科,北京100037

出　　处：《高血压杂志》2002年第5期430-432,共3页Chinese Journal of Hypertension

摘　　要：目的　比较肥胖组与正常对照组运动负荷后的血压变化 ,探讨运动性高血压对肥胖患者高血压病早期诊断的临床意义。方法　观察静态及次极量踏车运动试验后血压变化 ,两组进行对比分析 ,并行 2 4小时动态血压检查。结果　静态下两组血压无差异 ,运动后肥胖组血压超过标准者 (42 .86 % )明显高于对照组 (13.33% ) ;动态血压分析显示 :肥胖组 2 4小时及日间收缩压高于对照组 ,舒张压及夜间血压无显著差异。结论　肥胖患者运动性高血压患病率明显高于对照组 ,提示运动性高血压对肥胖者高血压病的早期诊断有一定参考价值。Objective To explore the clinical significance of exercise induced BP response in obesity. Methods The resting BP, submaximal bicycle ergometer test and 24h ambulatory blood pressure were examined in 28 case of obesity with 30 health subjects as control. Results There were no significantly difference for the resting blood pressure in two groups. 42.9% of obesity had abnormal BP response to exercise with only 13.3% in control group ( P <0 05). Average 24h and daytime systolic blood pressure were significantly higher in obesity( P <0 05), but no difference were found in the diastolic and nighttime blood pressure. Conclusion The incidence of exercise induced hypertension in obesity were significantly higher than the control.

关 键 词：肥胖患者 运动性高血压 临床研究 次极量踏车运动试验 

分 类 号：R544.1[医药卫生—心血管疾病]