摘要
目的:探讨海水浴医疗康复体操对在职中年原发性高血压患者血压及心功能的影响,观察康复体操在疗养期间的应用价值。方法:将180例中年原发性高血压患者按自愿分成两组:100例为体疗组,80例为对照组,体疗组依据鼓浪屿海水浴场及中年原发性高血压疗养员的身体特点,编排1套6节海水浴中的体疗动作,每节时间10min,由体疗医生带领完成。对照组以景观、散步和休息为主。海水浴1个月后,对比体疗组与对照组原发性高血压患者的心率、血压、腹围及左心功能的变化。结果:体疗组与对照组比较,疗养前两组各指标:腹围、血压、心率、收缩压×心率、左室射血分数、E/A无明显的差异(P>0.05);疗养后,体疗组腹围、收缩压、舒张压、心率、收缩压×心率、左室射血分数、E/A各项指标差异非常显著(t=9.347～20.259,P<0.01),疗养后各测值显示海水浴体疗组与对照组差异非常显著(U=4.259～8.883,P<0.01)。结论:海水浴医疗康复对降低中年原发性高血压患者的血压、改善全身血氧供应有确切疗效。
AIM:To investigate the influence of medical gymnastics of sea-water bath on the blood pressure and cardiac function in on-the-job middle-aged patients with essential hypertension(EH), and observe its applicable value during resting therapy. METHODS:Totally 180 middle-aged EH patients were divided into two groups voluntarily: exercise therapy group(n=100) and control group(n=80).According to the features of Gulangyu seashore and the healthy conditions of the middle-aged EH convalescents,a set of medical gymnastics of seawater bath,which consists of 6 parts each continuing 10 minute,was performed in the exercise therapy group under the instruction of the physicians.Patients in the control group were treated with landscape,walking and rest.After one month,the changes of the indexes of heart rate,blood pressure,abdomen circumference and left ventricular function were compared and analyzed between the two groups. RESULTS:Before resting therapy,there were no obvious differences in the indexes of abdomen circumference,blood pressure,heart rate,systolic pressure×heart rate,left ventricular ejection fraction(LVEF) and E/A between the exercise therapy group and control group(P >0.05).After resting therapy in the exercise therapy group,the abdomen circumference,systolic pressure,diastolic pressure,heart rate, systolic pressure×heart rate,LVEF and E/A changed very significantly(t=9.347 to 20.259,P< 0.01).The indexes after resting therapy in the exercise therapy were very significantly different from those in the control group(U=4.259 to 8.883, P< 0.01). CONCLUSION:Medical gymnastics is novel,safe, and easy to learn.It has satisfactory rehabilitative effect in decreasing the blood pressure,improving oxygen supply of the total body and increasing cardiac function of the middle-aged EH patietns during the convalescence.
出处
《中国临床康复》
CSCD
2004年第33期7510-7511,共2页
Chinese Journal of Clinical Rehabilitation
