实用肝脏病杂志
實用肝髒病雜誌
실용간장병잡지
JOURNAL OF CLINICAL HEPATOLOGY
2015年
5期
508-511
,共4页
非酒精性脂肪性肝病%高血压病%快步走%太极拳%血生化指标%血压
非酒精性脂肪性肝病%高血壓病%快步走%太極拳%血生化指標%血壓
비주정성지방성간병%고혈압병%쾌보주%태겁권%혈생화지표%혈압
Non-alcoholic fatty liver diseases%Hypertension%Skelp%Taijiquan(shadowboxing)%Blood biochemi-cal parameters%Blood pressure
目的:探讨快步走联合太极拳锻炼对高龄非酒精性脂肪性肝病合并高血压患者血压和血生化指标的影响。方法选择我校附属医院2013年9月~2014年7月期间诊治的高龄非酒精性脂肪性肝病合并高血压患者58例,29例对照组服用常规药物治疗,29例运动组除服用常规药物外,增加快步走联合太极拳锻炼,每分钟走120至140步,平均每天快步走1~2次,每次健身时间在30~70分钟,每天有效步行6~8千步。在健身走完后适当休息5~10分钟,再开始打太极拳,每次打太极2~3遍。10月后考察疗效。结果在治疗10月末,运动组患者收缩压和舒张压分别从治疗前的(168.2±5.3) mmHg和(95.8±7.2) mmHg降到了(139.6±6.5) mmHg和(86.0±5.5) mmHg(P<0.05),显著低于对照组[分别为(146.1±6.5) mmHg和(91.0±6.2) mmHg,P<0.05];观察期结束时,运动组患者血糖、总胆固醇、甘油三酯和高密度脂蛋白分别为(3.8±1.2) mmol/L、(4.2±0.9) mmol/L、(1.2±0.4) mmol/L和(1.2±0.2) mmol/L,均显著低于对照组[分别为(4.3±1.4) mmol/L、(4.4±0.5) mmol/L、(1.3±1.2) mmol/L和(1.6±0.1) mmol/L,P<0.05];运动组患者血生化指标均有不同程度的降低,与对照组比,差异有显著性或非常显著性意义(P<0.05或P<0.01)。结论快步走联合太极拳锻炼对高龄非酒精性脂肪性肝病合并高血压患者血生化指标和血压有良好的改善作用,应在临床实践中加以推广应用。
目的:探討快步走聯閤太極拳鍛煉對高齡非酒精性脂肪性肝病閤併高血壓患者血壓和血生化指標的影響。方法選擇我校附屬醫院2013年9月~2014年7月期間診治的高齡非酒精性脂肪性肝病閤併高血壓患者58例,29例對照組服用常規藥物治療,29例運動組除服用常規藥物外,增加快步走聯閤太極拳鍛煉,每分鐘走120至140步,平均每天快步走1~2次,每次健身時間在30~70分鐘,每天有效步行6~8韆步。在健身走完後適噹休息5~10分鐘,再開始打太極拳,每次打太極2~3遍。10月後攷察療效。結果在治療10月末,運動組患者收縮壓和舒張壓分彆從治療前的(168.2±5.3) mmHg和(95.8±7.2) mmHg降到瞭(139.6±6.5) mmHg和(86.0±5.5) mmHg(P<0.05),顯著低于對照組[分彆為(146.1±6.5) mmHg和(91.0±6.2) mmHg,P<0.05];觀察期結束時,運動組患者血糖、總膽固醇、甘油三酯和高密度脂蛋白分彆為(3.8±1.2) mmol/L、(4.2±0.9) mmol/L、(1.2±0.4) mmol/L和(1.2±0.2) mmol/L,均顯著低于對照組[分彆為(4.3±1.4) mmol/L、(4.4±0.5) mmol/L、(1.3±1.2) mmol/L和(1.6±0.1) mmol/L,P<0.05];運動組患者血生化指標均有不同程度的降低,與對照組比,差異有顯著性或非常顯著性意義(P<0.05或P<0.01)。結論快步走聯閤太極拳鍛煉對高齡非酒精性脂肪性肝病閤併高血壓患者血生化指標和血壓有良好的改善作用,應在臨床實踐中加以推廣應用。
목적:탐토쾌보주연합태겁권단련대고령비주정성지방성간병합병고혈압환자혈압화혈생화지표적영향。방법선택아교부속의원2013년9월~2014년7월기간진치적고령비주정성지방성간병합병고혈압환자58례,29례대조조복용상규약물치료,29례운동조제복용상규약물외,증가쾌보주연합태겁권단련,매분종주120지140보,평균매천쾌보주1~2차,매차건신시간재30~70분종,매천유효보행6~8천보。재건신주완후괄당휴식5~10분종,재개시타태겁권,매차타태겁2~3편。10월후고찰료효。결과재치료10월말,운동조환자수축압화서장압분별종치료전적(168.2±5.3) mmHg화(95.8±7.2) mmHg강도료(139.6±6.5) mmHg화(86.0±5.5) mmHg(P<0.05),현저저우대조조[분별위(146.1±6.5) mmHg화(91.0±6.2) mmHg,P<0.05];관찰기결속시,운동조환자혈당、총담고순、감유삼지화고밀도지단백분별위(3.8±1.2) mmol/L、(4.2±0.9) mmol/L、(1.2±0.4) mmol/L화(1.2±0.2) mmol/L,균현저저우대조조[분별위(4.3±1.4) mmol/L、(4.4±0.5) mmol/L、(1.3±1.2) mmol/L화(1.6±0.1) mmol/L,P<0.05];운동조환자혈생화지표균유불동정도적강저,여대조조비,차이유현저성혹비상현저성의의(P<0.05혹P<0.01)。결론쾌보주연합태겁권단련대고령비주정성지방성간병합병고혈압환자혈생화지표화혈압유량호적개선작용,응재림상실천중가이추엄응용。
Objective To study the skelp and Taijiquan (shadowboxing) in treatment of elderly patients with non-alcoholic fatty liver diseases complicated by hypertension. Methods Fifty-eight elderly patients with non-alcoholic fatty liver diseases complicated by blood hypertension from our hospital affiliated to Shaanxi Univer-sity of Chinese Medicine were included from September 2013 to July 2014 in this study. 29 patients received the conventional medicine,and another 29 exercised with skelp and Taijiquan (shadowboxing) at the base of conven-tional therapy. All individuals were followed-up for 10 months. Results At the end of ten months,the systolic and diastolic blood pressure in patients with exercise decreased from(168.2±5.3) mmHg and (95.8±7.2) mmHg at presentation to (139.6 ±6.5) mmHg and (86.0 ±5.5) mmHg,respectively (P<0.05),much lower than in the control [(146.1±6.5) mmHg and (91.0±6.2) mmHg,P<0.05];the fasting plasma glucose,serum total cholesterol,triglyceride and high-density lipoprotein cholesterol were(3.8±1.2) mmol/L,(4.2±0.9) mmol/L,(1.2±0.4) mmol/L and(1.2±0.2) mmol/L,much lower than in the control [(4.3 ±1.4) mmol/L,(4.4 ±0.5) mmol/L,(1.3 ±1.2) mmol/L and (1.6 ±0.1) mmol/L,respectively,P<0.05];the improvement of blood biochemical parameters in patients with exercise was more obvious than in the control (P<0.05 or P<0.01). Conclusion Skelp and Taijiquan (shadowboxing) at the base of medical support are beneficial for elderly patients with nonalcoholic fatty liver diseases and hypertension ,which might be popularized and applied in clinical practice.