摘要
目的 探讨高血压患者最优化的运动方案对心功能的影响.方法 入选海军总医院心内科门诊和住院治疗符合诊断和纳入标准的轻、中度原发性高血压患者101例,患者通过适量运动(6 min步行试验与运动平板试验).分别在进行6 min步行试验和运动平板试验后24 h进行超声心动图检查.通过M型、二维超声心动图、脉冲多谱勒、多谱勒组织显像技术(DTI)检测,提取心功能相关参数,对比6 min步行试验和运动平板试验对心功能的改善情况.结果 在男性高血压患者中,运动平板试验后的射血分数(EF)(59.33±4.46)%和二尖瓣口舒张早期血流速度与二尖瓣环舒张早期运动速度比值(E/E') (4.12±1.66)优于6 min步行试验[EF(56.05±4.57)%、E/E'(4.95±1.79)],二者比较差异有统计学意义(P值分别为0.02和0.01).在女性高血压患者中,适量运动后的心功能无明显差异(P均>0.05).结论 适量运动能改善男性高血压患者的心功能,运动平板试验后的EF和E/E'的改善优于6 min步行试验.但对女性高血压患者心功能无明显影响.
Objective To investigate the effect of optimizing protocol activity on the cardiac function in patients with hypertension.Methods One hundred and one patients with mild and moderate hypertension in Navy General Hospital were enrolled in the study.The patients took regular exercise(6 min walking activity and treadmill test),Echocardiogram was performed 24 h after 6 min walking activity and treadmill test.The cardiac function related parameters were obtained through M-mode,2DE,pulse Doppler and DTI detection to compare the effect of 6 min walking activity and treadmill test on cardiac function.Results The results showed that in the male hypertensive patients,EF and E/E' after treadmill test were superior to those after 6 min walking activity (EF:(59.33±4.46)% vs.(56.05±4.57)%;E/E':(4.12±1.66)vs.(4.95±1.79)),the differences were statistically significant(P=0.02,0.01),while among the female hypertensive patients,there were no significant differences in cardiac function(P>0.05).Conclusion Appropriate activity can improve the cardiac function in male hypertensive patients.EF and E/E' after the treadmill test performed better than those after the 6 min walking activity,while its influence on female hypertensive patients was not significant.
出处
《中国综合临床》
2017年第12期1057-1060,共4页
Clinical Medicine of China
基金
国家自然科学基金资助课题(30771836)Project supported by National Natural Science Foundation of China
