中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
11期
59-61
,共3页
有氧运动%动态血压监测%硝苯地平%高血压%血清尿酸%高密度脂蛋白胆固醇
有氧運動%動態血壓鑑測%硝苯地平%高血壓%血清尿痠%高密度脂蛋白膽固醇
유양운동%동태혈압감측%초분지평%고혈압%혈청뇨산%고밀도지단백담고순
Aerobic exercise%Ambulatory blood pressure monitoring%Nifedipine%Hypertension%Serum uric acid%High-density lipoprotein cholesterol
目的 观察长期有氧运动对男性中青年高血压患者动态血压、血清尿酸和高密度脂蛋白(HDL)的影响.方法 将60例轻度男性高血压病患者随机分为对照组和观察组,对照组给予硝苯地平缓释片(10 mg,每日2次),观察组采用运动疗法(每天进行30 ～60 min的有氧运动),并分别于治疗前、治疗12周末各做24 h动态血压监测(ABPM)1次,并于治疗前后分别测定血尿酸(SUA)和血脂.结果 治疗3个月后进行比较,对照组、观察组患者的收缩压(SBP)、舒张压(DBP)均明显降低(P＜0.05)；SUA均明显降低,分别下降20.96、23.33 μmol/L;三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)降低,高密度脂蛋白胆固醇(HDL-C)升高,分别增加0.27、0.22 mmol/L(P＜0.05),治疗后两组患者之间SBP、DBP、SUA、血脂比较差异无统计学意义(P＞0.05).结论 有氧运动对男性中青年轻中度高血压患者在降压、降低血尿酸、改善血脂代谢方面的效果等同于药物治疗.
目的 觀察長期有氧運動對男性中青年高血壓患者動態血壓、血清尿痠和高密度脂蛋白(HDL)的影響.方法 將60例輕度男性高血壓病患者隨機分為對照組和觀察組,對照組給予硝苯地平緩釋片(10 mg,每日2次),觀察組採用運動療法(每天進行30 ～60 min的有氧運動),併分彆于治療前、治療12週末各做24 h動態血壓鑑測(ABPM)1次,併于治療前後分彆測定血尿痠(SUA)和血脂.結果 治療3箇月後進行比較,對照組、觀察組患者的收縮壓(SBP)、舒張壓(DBP)均明顯降低(P＜0.05)；SUA均明顯降低,分彆下降20.96、23.33 μmol/L;三酰甘油(TG)、總膽固醇(TC)、低密度脂蛋白膽固醇(LDL-C)降低,高密度脂蛋白膽固醇(HDL-C)升高,分彆增加0.27、0.22 mmol/L(P＜0.05),治療後兩組患者之間SBP、DBP、SUA、血脂比較差異無統計學意義(P＞0.05).結論 有氧運動對男性中青年輕中度高血壓患者在降壓、降低血尿痠、改善血脂代謝方麵的效果等同于藥物治療.
목적 관찰장기유양운동대남성중청년고혈압환자동태혈압、혈청뇨산화고밀도지단백(HDL)적영향.방법 장60례경도남성고혈압병환자수궤분위대조조화관찰조,대조조급여초분지평완석편(10 mg,매일2차),관찰조채용운동요법(매천진행30 ～60 min적유양운동),병분별우치료전、치료12주말각주24 h동태혈압감측(ABPM)1차,병우치료전후분별측정혈뇨산(SUA)화혈지.결과 치료3개월후진행비교,대조조、관찰조환자적수축압(SBP)、서장압(DBP)균명현강저(P＜0.05)；SUA균명현강저,분별하강20.96、23.33 μmol/L;삼선감유(TG)、총담고순(TC)、저밀도지단백담고순(LDL-C)강저,고밀도지단백담고순(HDL-C)승고,분별증가0.27、0.22 mmol/L(P＜0.05),치료후량조환자지간SBP、DBP、SUA、혈지비교차이무통계학의의(P＞0.05).결론 유양운동대남성중청년경중도고혈압환자재강압、강저혈뇨산、개선혈지대사방면적효과등동우약물치료.
Objective To investigate the effect of aerobic exercise on ambulatory blood pressure,serum uric acid and HDL in young and middle-aged male patients with mild essential hypertension.Methods Sixty patients who had mild hypertension were randomly divided into control group and observed group (n =30).Control group were administrated nifedipine (10 mg,bid) and observed group received aerobic exercise (30-60 minutes)everyday for 12 weeks.Change of blood pressure in 24 hours,serum uric acid and blood lipids of sixty subjects were measured before and after a 12-week exercise training program.Date were analyzed with statistical methods.Results After 12 weeks,the systolic/diastolic blood pressure decreased significantly in two groups.SUA reduced,with 20.96/23.33 μmol/L.TG,TC,LDL-C reduced,HDL-C increased,with 0.27/0.22 mmol/L (P ＜ 0.05).After treatment,there were no statistical significance with SBP,DBP,SUA and blood lipids between the two groups.Conclusions Aerobic exercise may decrease blood pressure and serum uric acid and improve lipid metabolism.The effect is equivalent to drug treatment.
