| 摘要: |
| ［摘要］ 目的 探讨个体化心脏康复运动对农村社区高血压患者左心室肥厚的影响。方法 将1 100例高血压左心室肥厚患者，随机分为运动组589例和对照组511例，除去未完成运动处方者及失访者，运动组实际观察467例，对照组实际观察468例。运动组制定个体化的运动处方，并全程督促其严格完成。对照组予一般指导性的康复运动，两组运动前及运动后6个月后均做超声心动图、血脂、血糖和肝肾功能检查，分析疗效。结果 左心室肥厚各项指标治疗前后组内比较差异有统计学意义（P均<0.01），两组比较差异有统计学意义（P均<0.01）。运动组血糖、血脂组内比较差异有统计学意义（P均<0.01），肝肾功能差异无统计学意义（P>0.05），对照组血糖、血脂、肝肾功能组内差异无统计学意义（P>0.05）。结论 个体化的心脏康复运动可完全逆转或减轻部分高血压患者的左心室肥厚，部分患者可减少或停用降压药，还有调整血脂、降低血糖的作用，不良反应少。 |
| 关键词: 高血压 左心室肥厚 心脏康复运动 个体化 |
| DOI：10.3969/j.issn.1674-3806.2013.03.05 |
| 分类号:R 54 |
| 基金项目:广西科学研究与技术开发计划项目（编号：桂科攻10124001B-37） |
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| Effect of inclividual cardiac rehabilitation exercise on left vanfricular hypertrophy of patients with hypertension in rural communities |
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ZHAO Ying-yi，JIANG xi，HE Weng-zhen，et al.
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Department of Cardiovascular Disease, Pubei County People’s Hospital, Guangxi 535300,China
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| Abstract: |
| ［Abstract］ Objective To explore the effects of individual cardiac rehabilitation exercise on left ventricular hypertrophy of patients with hypertension in rural communities.Methods Eleven hundred patients with hypertension and left ventricular hypertrophy were randomly assigned to exercise group(589 cases) and control group(511 cases). After removal of patients who were missed visit or did not complete exercise prescription the actual number of exercise group were 467 cases; the that of control group were 468 cases. The exercise group received the developed individual exercise prescription and strictly completed its whole process.The control group received general guidance on rehabilitation exercise. Before and after 6 months of exercise two group received echocardiographic examination, blood lipid, blood glucose and liver and kidney function tests, and their curative effects were analyzed.Results In the exercise group,there were statistically significant difference in the indexes of left ventricular hypertrophy before and after exercise (P all <0.01).There were statistically significant in the indexes of left ventricular hypertrophy after exercise between two groups (P all <0.01).In exercise group there were statistically significant difference in blood glucose, blood lipid(P all <0.01),and was no statistically significant difference in liver and renal function before and after exercise(P>0.05).In control group,there were no statistically significant difference in bood glucose,blood fat, liver and kidney function before and after exercise(P>0.05).Conclusion Personal cardiac rehabilitation exercise could fully reverse or mitigate LVH in the part of hypertensive patients, some patients can reduce or stop use of antihypertensive drugs.It has a function of adjusting blood fat and blood glucose with less adverse reaction. |
| Key words: Hypertension Left venticular hypertrophy(LVH) Cardiac rehabilitation exercise Individualization |
