论文部分内容阅读
目的:观察有氧运动对白大衣高血压(WCH)患者血压的影响。方法:51例新近确诊的WCH患者被随机分为运动组(26例)和WCH对照组(25例),运动组接受了有氧运动锻炼训练(等速平地步行,2次/d,50～80 min/次,持续3个月);WCH对照组未进行运动训练。两组患者在确诊时和3个月后分别进行了诊室血压(OBP)和24h动态血压(ABPM)检测。结果:两组患者首次检测各项OBP和ABPM指标无显著差异(P均>0.05);3个月后运动组OBP和ABPM各指标较干预前明显降低,且明显低于WCH对照组,OBP[OSBP:(132.54±17.60)mmHg比(143.68±20.35)mmHg、ODBP:(89.12±18.39)mmHg比(92.75±17.24)mm-Hg],ABPM[mSBP:(121.57±20.86)mmHg比(128.06±19.45)mmHg、mSDP:(76.24±15.28)mmHg比(84.55±17.31)mmHg和dSBP:(124.27±22.50)mmHg比(130.85±24.61)mmHg、dSDP:(77.95±18.42)mmHg比(82.36±17.59)mmHg],P<0.05～<0.01。结论:有氧运动可显著降低白大衣高血压患者血压。
Objective: To observe the effect of aerobic exercise on blood pressure in white coat hypertension (WCH) patients. Methods: Fifty-one newly diagnosed patients with WCH were randomly divided into exercise group (n = 26) and WCH control group (n = 25). The exercise group received aerobic exercise training (isokinetic flat walk, 80 min / time for 3 months); WCH control group did not exercise training. Two groups of patients were diagnosed with OBP and ABPM respectively at the time of diagnosis and three months later. Results: There was no significant difference between the two groups in OBP and ABPM indicators (P> 0.05). After 3 months, the indexes of OBP and ABPM in exercise group were significantly lower than those in WCH control group and OBP [ OSBP: (132.54 ± 17.60) mmHg (143.68 ± 20.35) mmHg, ODBP: (89.12 ± 18.39) mmHg vs (92.75 ± 17.24) mmHg] ) mmHg, mSDP: (76.24 ± 15.28) mmHg (84.55 ± 17.31) mmHg and dSBP: (124.27 ± 22.50) mmHg ], P <0.05 ~ <0.01. Conclusion: Aerobic exercise can significantly reduce blood pressure in white coat hypertensive patients.