高血压病的康复医疗及其对左室舒张功能的影响  

Effect and influence of rehabilitation treatment on left ventricle diastolic function in patients with hypertension/

作　　者：洪燕[1] 张廷[1] 喻玲[1] 胡晓慧[1] 贾秋萍[1] 

机构地区：[1]武警江西总队医院干部病房,江西南昌市330001

出　　处：《心血管康复医学杂志》2003年第2期104-106,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:观察中西医结合康复医疗对高血压病患者的降压疗效,并探讨其对左室舒张功能的影响。方法:82例高血病人被随机分为常规治疗组(30组),康复治疗组(常规治疗+中药茶饮+康复运动,52例)。用多普勒超声心动图测定高血压病患者治疗前后左室舒张功能(二尖瓣血流E峰值、A峰值、E/A比值)。结果:①2周内和1年内血压控制率康复组均高于对照组(P<0.01),1年内并发症的发生率康复组低于对照组(P<0.05);②对症状的改善,康复组优于对照组(P<0.01);③治疗前后两组左室舒张功能均有改善,康复组改善更明显(P<0.01)。结论:中西医结合康复医疗较单纯西药降压治疗在控制血压、改善症状、降低并发症等方面有更明显效果;且更能改善左心室的舒张功能。Objective: To observe the effect and influence of rehabilitation treatment combined with tradition Chinese medicine and western medicine (CTCMW) on left ventricle diastolic function in hypertension patients. Methods: A total of 82 patients with primary hypertension were randomly divided to control group (30 cases) and rehab group (routine therapy+CTCMW rehabilitation treatment, 52 cases). E and A peak velocity of mitral flow (E, A) and E/ A ratio were measured by Doppler echocardiogram in hypertension patients after first month treatment. Results: ① The hypertension control rate of rehab group were higher than that of control group within 2 weeks and first year after treatment (P<0. 01) , the incidence rate of complication of rahab group in first year was lower (P<0. 05) ;② The symptom improving was finer in rehab group than that of control group (P<0. 01) ; ③The left ventricle diastolic function in 2 group patients was improved after treatment, and it was significantly improved in rehab group than that of control group (P<0. 01). Conclusion: The CTCMW rehabilitation treatment possesses more effect in controlling hypertension, improving symptom, reducing complication and improving left ventricle diastolic function than routine therapy.

关 键 词：高血压病 康复医疗 左室舒张功能 降压疗效 超声心动图 

分 类 号：R544.1[医药卫生—心血管疾病]