文章摘要
王建晖,杨保元,刘春敏.不同运动方式改善原发性高血压患者自主神经功能的疗效对比[J].中国康复,2018,33(3):221-224
不同运动方式改善原发性高血压患者自主神经功能的疗效对比
Curative effect of different exercise improving autonomic nervous function in patients with essential hypertension
  
DOI:
中文关键词: 原发性高血压  联合运动  有氧运动  抗阻运动  心血管自主神经功能
英文关键词: primary hypertension  combined training  aerobic exercise  resistance movement  autonomic nervous system
基金项目:
作者单位
王建晖 南阳南石医院康复医学科河南 南阳 473000 
杨保元 南阳南石医院康复医学科河南 南阳 473000 
刘春敏 南阳南石医院康复医学科河南 南阳 473000 
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中文摘要:
  目的:探讨有氧抗阻运动对原发性高血压患者产生降压疗效的自主神经功能变化。方法:将106例原发性高血压患者随机分为3组,抗阻组(35例)、有氧组(36例)以及联合组(35例),3组在口服药物的基础上分别进行中等强度抗阻运动、慢跑以及有氧抗阻运动辅助治疗。疗程结束后,对3组患者进行血流动力学测定和心血管自主神经功能评测。结果:疗程结束后,3组收缩压和舒张压均明显低于治疗前(均P<0.05),联合组收缩压和舒张压均较抗阻组和有氧组低(均P<0.05);抗阻组心率变异性(HRV)-高频功率(HF)明显低于治疗前,HRV-低频功率(LF)和HRV-LF/HF明显高于治疗前,有氧组与联合组治疗后HRV-HF明显高于治疗前,HRV-LF和HRV-LF/HF治疗后低于治疗前,差异均有统计学意义(均P<0.05);3组治疗后HRV比较:3组中联合组HRV-HF最高,HRV-LF、HRV-LF/HF联合组最低,其次为有氧组,3组比较差异具有统计学意义(均P<0.05);疗程结束后有氧组与联合组BPV-LF明显低于治疗前(均P<0.05),抗阻组BPV-LF较治疗前明显增高(P<0.05);3组中BPV-HF值差异无显著性(P>0.05),联合组BPV-LF值最低,其次为有氧组,抗阻组最高,3组差异有统计学意义(P<0.05)。结论:有氧抗阻运动能够明显改善患者心血管自主神经功能,优于单纯抗阻运动及有氧运动。
英文摘要:
  Objective: To explore the changes of autonomic nervous function by depressurization in primary hypertension patients. Methods: All 106 cases of primary hypertension were randomly divided into three groups: the resistance group (35 cases), aerobic group (36 cases) and combination group (35 cases). All three groups accepted oral administration of drugs. The resistance group accepted moderate intensity resistance exercise, the aerobic group accepted jogging, and combination group accepted aerobic resistance movement additionally. After the treatment course, the hemodynamic indexes and cardiovascular autonomic nerve functions in three groups were evaluated. Results: After the treatment, systolic and diastolic blood pressure in all three groups were significantly lower than those before treatment (all P<0.05). Systolic and diastolic blood pressure in combination group was relatively lower than in resistance and aerobic groups (all P<0.05). The heart rate variability (HRV)-high frequency (HF) in resistance group was significantly lower than that pretreatment, and HRV-low frequency (LF) and HRV power-LF/HF were significantly higher than pretreatment. HRV-HF in aerobic group and combination group were significantly higher and HRV-LF and HRV-LF/HF were significantly lower than those pretreatment (all P<0.05). After treatment, HRV-HF was the highest and HRV-LF and HRV-LF/HF lowest in combination group, followed in aerobic group (all P<0.05); BPV-LF in aerobic group and combination group were significantly lower than pretreatment, and BPV-LF in resistance group was higher than pretreatment (all P<0.05). There were no significant differences among three groups (P>0.05). BPV-LF was lowest in combination group, followed in aerobic group, and lowest in resistance group (all P<0.05). Conclusion: Aerobic resistance exercise can significantly improve autonomic nervous system in patients with primary hypertension, and is superior to resistance or aerobic exercise alone.
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