运动管理在高血压患者中的运用及效果研究  

Study on the application and effect of exercise management in patients with hypertension

作　　者：张婷婷 孙毅[1] ZHANG Tingting;SUN Yi(Health Management Center,the First People′s Hospital of Foshan City,Guangdong Province,Foshan528000,China)

机构地区：[1]广东省佛山市第一人民医院健康管理中心,广东佛山528000

出　　处：《中国当代医药》2022年第4期75-78,共4页China Modern Medicine

摘　　要：目的探讨运动管理在高血压患者中的运用效果。方法选取2019年2月至2020年2月佛山市第一人民医院健康管理中心收治的90例高血压患者作为研究对象,采用随机数字表法将其分为对照组与观察组,每组各45例。对照组患者采用药物控制血压,观察组患者在对照组的基础上采用运动管理。比较两组患者的血压、心率、血浆内皮素水平、一氧化氮(NO)水平、饮食与运动指标及血脂水平。结果观察组患者干预后的收缩压、舒张压、24 h心率、血浆内皮素、NO、三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平均低于对照组,差异有统计学意义(P<0.05)。两组患者干预后的总运动量均高于干预前,差异有统计学意义(P<0.05);干预前及干预后,两组患者的总运动量比较,差异无统计学意义(P>0.05)。观察组患者干预后的高密度脂蛋白胆固醇(HDL-C)水平、有效运动量高于对照组,有效运动时间长于对照组,差异有统计学意义(P<0.05)。观察组患者干预后的膳食摄入量、实际平衡量低于对照组,差异有统计学意义(P<0.05)。结论对高血压患者用药治疗期间加强运动管理可提高治疗效果,改善患者的血压水平与心率指标,降低血脂水平,保证均衡的膳食摄入与有效的运动量及运动时间,降低NO水平与血浆内皮素水平,进而有效改善患者预后。Objective To explore the effect of exercise management in patients with hypertension.Methods A total of 90 patients with hypertension admitted to the Health Management Center in the First People′s Hospital of Foshan City from February 2019 to February 2020 were selected as the research subjects.They were divided into the control group and the observation group by random number table method,with 45 cases in each group.The control group was treated with drugs to control blood pressure,and the observation group was treated with exercise management on the basis of the control group.Blood pressure,heart rate,plasma endothelin level,nitric oxide(NO)level,diet and exercise indexes and blood lipid levels were compared between the two groups.Results Systolic blood pressure,diastolic blood pressure,24 h heart rate,plasma endothelin,NO,triglyceride(TG),total cholesterol(TC)and low density lipoprotein cholesterol(LDL-C)levels in observation group were lower than those in control group after intervention,and the differences were statistically significant(P<0.05).The total amount of exercise in the two groups after intervention were higher than those before intervention,and the differences were statistically significant(P<0.05).Before and after intervention,there was no statistically significant difference in the total amount of exercise between the two groups(P>0.05).After intervention,the level of high density lipoprotein cholesterol(HDL-C)and effective exercise amount in observation group were higher than those in control group,and the effective exercise time was longer than that in control group,the differences were statistically significant(P<0.05).The dietary intake and actual balance amount of observation group were lower than those of control group after intervention,and the differences were statistically significant(P<0.05).Conclusion Strengthening exercise management during the treatment of patients with hypertension can improve the therapeutic effect,improve the blood pressure level and heart rate of the patients,

关 键 词：运动管理 高血压 心率 血脂水平 一氧化氮水平 血浆内皮素水平 

分 类 号：R544.1[医药卫生—心血管疾病]