摘要
目的探讨增强型体外反搏(EECP)对老年高血压(HBP)伴静息心率(HR)增快患者动态血压及动态心率的影响。方法选取2022年3月—2023年2月金华康复医院收治的60例老年HBP伴HR增快患者为研究对象,按照随机数字表法将其分为对照组与观察组,各30例。对照组采用琥珀酸美托洛尔治疗,观察组在对照组基础上采用EECP治疗,两组均持续治疗12周。对比两组患者的动态血压、动态心率及安全性。结果治疗后,观察组24 h收缩压为(114.25±4.34)mmHg,24 h舒张压为(69.58±4.64)mmHg,日间收缩压为(120.29±3.22)mmHg,日间舒张压为(73.66±3.27)mmHg,夜间收缩压为(110.29±9.27)mmHg,夜间舒张压为(65.31±3.41)mmHg,均低于对照组,组间差异有统计学意义(P<0.05);观察组日间心率为(80.17±4.28)mmHg,夜间心率为(63.98±2.67)mmHg,24 h心率为(69.59±4.21)mmHg,均慢于对照组,组间差异有统计学意义(P<0.05)。两组在治疗期间均未出现明显不良反应。结论在老年HBP伴HR增快患者中,使用EECP治疗能有效改善患者动态血压、动态心率,且安全可靠。
Objective To investigate the effects of enhanced external counterpulsation(EECP)on ambulate blood pressure and ambulate heart rate in elderly patients with high blood pressure(HBP)and increased resting heart rate(HR).Methods Sixty elderly patients with HBP with HR acceleration admitted to Jinhua Rehabilitation Hospital from March 2022 to February 2023 were selected as research objects,and were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The control group was treated with metoprolol succinate,and the observation group was treated with EECP on the basis of the control group,both groups were treated for 12 weeks.The ambulatory blood pressure,ambulatory heart rate and safety of the two groups were compared.Results After treatment,24 h Systolic Blood Pressure was(114.25±4.34)mmHg,24 h Diastolic Blood Pressure was(69.58±4.64)mmHg,daytime Systolic Blood Pressure was(120.29±3.22)mmHg,daytime Diastolic Blood Pressure was(73.66±3.27)mmHg,the nocturnal Systolic Blood Pressure was(110.29±9.27)mmHg,and the nocturnal Diastolic Blood Pressure was(65.31±3.41)mmHg,both of which were lower than those of the control group,and the differences were statistically significant(P<0.05);the Heart Rate of the observation group was(80.17±4.28)mmHg during the day,(63.98±2.67)mmHg at night and(69.59±4.21)mmHg at 24 h,which were all slower than those of the control group,and the differences between groups were statistically significant(P<0.05).There were no obvious adverse reactions in both groups during treatment.Conclusion In elderly patients with HBP combined with HR acceleration,the use of EECP treatment can effectively improve patients'ambulatant blood pressure and dynamic heart rate,and it is safe and reliable.
作者
杨俊
葛晓平
YANG Jun;GE Xiaoping(Department of Geriatrics,Jinhua Rehabilitation Hospital,Jinhua 321000,China)
出处
《反射疗法与康复医学》
2024年第11期73-75,79,共4页
Reflexology And Rehabilitation Medicine
基金
金华市科技计划项目(编号:2021-4-107)。
关键词
老年高血压
静息心率
增强型体外反搏
动态血压
动态心率
Elderly high blood pressure
Resting heart rate
Enhanced external counterpulsation
Dynamic blood pressure
Dynamic heart rate
