抗阻有氧锻炼在高血压合并脑出血高危人群中的应用  

Application of resistance aerobic exercise in population of hypertension complicated with high risk of cerebral hemorrhage

作　　者：穆信利[1] 李敏[1] 李云鹏 Mu Xinli;Li Min;Li Yunpeng(Rehabilitation Medicine Ward,Jinan Central Hospital,Jinan 250013,China)

机构地区：[1]济南市中心医院康复医学科病房,250013

出　　处：《国际医药卫生导报》2021年第16期2615-2618,共4页International Medicine and Health Guidance News

摘　　要：目的探究联合抗阻有氧锻炼在高血压合并脑出血高危人群中的应用效果。方法选取2016年3月至2018年3月期间济南市中心医院收治的138例高血压合并脑出血高危患者为研究对象,依据随机数字表法将患者分为对照组和观察组,各69例。对照组男35例、女34例,年龄(61.41±7.10)岁;观察组男38例、女31例,年龄(62.18±7.32)岁。对照组患者采用有氧锻炼,观察组患者给予有氧锻炼联合抗阻运动,两组患者每周3次来院进行康复锻炼,有氧锻炼以确保患者活动时心率达到120~140次/min为准则,抗阻运动以患者在专业人员指导下完成运动内容为准则。干预4个月后,比较两组患者的Fugl-Meyer运动功能评估量表评分、生活质量评分、出院后情况。结果随访中观察组患者1例失访,对照组2例患者失访。干预后观察组患者的Fugl-Meyer运动功能评估量表评分高于对照组[(88.91±10.20)分比(77.45±11.31)分],差异有统计学意义(P<0.001)。干预后观察组患者的躯体健康、躯体疼痛、精力、情绪角色功能和总体健康评分均高于对照组[(85.34±11.46)分比(73.43±10.42)分、(84.17±13.10)分比(72.22±14.41)分、(89.53±15.34)分比(62.80±14.42)分、(89.89±16.41)分比(76.70±17.54)分、(89.41±12.65)分比(76.84±13.11)分],两组比较差异均有统计学意义(均P<0.001)。干预后6个月观察组和对照组患者脑出血发病率分别为1.5%(1/68)和11.9%(8/67),差异有统计学意义(χ^(2)=4.382,P=0.036)。结论高血压合并脑出血高危患者联合抗阻有氧锻炼能够有效提高日常生活活动能力,改善生活质量,降低脑出血发病率。Objective To explore the application effect of combined resistance aerobic exercise in population of hypertension complicated with high risk of cerebral hemorrhage.Methods A total of 138 patients with hypertension complicated with high risk of cerebral hemorrhage admitted to Jinan Central Hospital from March 2016 to March 2018 were selected as the research subjects.The patients were divided into a control group and an observation group according to the random number table method,with 69 cases in each group.There were 35 males and 34 females in the control group,with an age of(61.41±7.10)years old;there were 38 males and 31 females in the observation group,with an age of(62.18±7.32)years old.The control group received aerobic exercise,and the observation group received aerobic exercise combined with resistance exercise.The patients in the two groups came to our hospital for rehabilitation exercise three times per week.Aerobic exercise was conducted to ensure that the heart rate of the patients reached 120-140 times/min during the activities,and resistance exercise was conducted to ensure that the patients completed the exercise under the guidance of professionals.After 4 months of intervention,Fugl-Meyer scores,quality of life scores,and post-discharge conditions were compared between the two groups.Results During the follow-up,1 patient in the observation group and 2 patients in the control groupwere lost to follow-up.After the intervention,the Fugl-Meyer score in the observation group was higher than that in the control group[(88.91±10.20)points vs.(77.45±11.31)points](P<0.001).After the intervention,the scores of physical health,physical pain,energy,and emotional role function,and the overall health score of the observation group were all higher than those of the control group[(85.34±11.46)points vs.(73.43±10.42)points,(84.17±13.10)points vs.(72.22±14.41)points,(89.53±15.34)points vs.(62.80±14.42)points,(89.89±16.41)points vs.(76.70±17.54)points,(89.41±12.65)points vs.(76.84±13.11)points](all P<0.

关 键 词：高血压 脑出血 高危 有氧锻炼 抗阻运动 

分 类 号：R473[医药卫生—护理学]