Isolated systolic hypertension is the most common and predominant type of blood pressure,which is also one of the main risk factors of cardio-cerebrovascular events,seriously threating the quality of life in elderly hypertensive patients.Therefore,the positive and effective prevention is in urgent need.At present,the treatment of isolated systolic hypertension in the elderly is still dominated by medica-tion,which although has several positive effects,and is unable to completely control blood pressure and other risk factors.Exercise therapy,as an adjunctive therapy for hypertension,can control the risk factors and reduce target organ damage by improving lifestyle,which is attracting more and more attention in recent years.This paper has reviewed the research progress of mechanism,exercise prescription,indications and contraindication of exercise therapy in the treatment of elderly isolated systolic hypertension at home and abroad.%单纯收缩期高血压是老年高血压人群最常见、最多发的血压类型,也是引发心脑血管事件的主要危险因素之一,严重威胁老年高血压患者的生命质量,因此积极有效的防治十分重要.目前治疗老年单纯收缩期高血压仍以药物为主,虽有一定成效,但无法完全控制血压及其他危险因子.运动疗法作为高血压病的一种辅助治疗手段,通过改良生活习惯的方式,实现控制危险因素和减少靶器官损害的双重目标,近年来受到越来越广泛的关注.现综述近年来国内外运动疗法治疗老年单纯收缩期高血压的作用机制、运动处方、适应证及禁忌证等研究进展.
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