康复综合疗法在高血压患者应用的研究

摘要

Objective:To analyze therapeutic effect of comprehensive rehabilitation therapy on patients with hypertension. Methods:A total of 100 patients with hypertension treated in our hospital were enrolled.According to random number ta-ble,they were randomly and equally divided into routine treatment group and comprehensive rehabilitation therapy group (received comprehensive rehabilitation therapy based on routine treatment).After one month,blood pressure,body mass index(BMI),6min walking distance(6MWD),left ventricular ejection fraction(LVEF)before and after treatment,and acute onset times of hypertension during treatment were observed and compared between two groups.Results:Compared with before treatment,there were significant reductions in blood pressure,and significant rise in 6MWD and LVEF after treatment in two groups,P<0.01 all;compared with routine treatment group after treatment,there were significant re-ductions in blood pressure[(136.53 ± 9.25)/(83.52 ± 5.24)mmHg vs.(118.53 ± 6.53)/(78.42 ± 6.53)mmHg], BMI[(23.43 ± 3.12)kg/m2vs.(20.53 ± 2.24)kg/m2]and mean times of acute onset[(6.8 ± 3.5)times vs.(3.2 ± 1.2) times],and significant rise in 6MWD[(325.12 ± 65.39)m vs.(368.34 ± 89.52)m],LVEF[(55.34 ± 4.22)% vs. (60.95 ± 2.53)%]in comprehensive rehabilitation therapy group after treatment,P<0.01 all.Conclusion:Comprehen-sive rehabilitation therapy possesses good therapeutic effect on patients with hypertension.It can significantly decrease blood pressure,increase exercise capacity,improve cardiac function and reduce acute onset times of hypertension in these patients,which is worth extending in clinic.%目的:分析康复综合疗法在高血压患者中的应用效果及对血压波动的影响.方法:选择100例本院收治高血压患者作为观察对象,按随机数字表法分为:常规治疗组和康复综合疗法组(在常规治疗基础上采用康复综合疗法),各为50例.1个月后观察比较两组患者治疗前后血压、人体质量指数(BMI)、6min步行距离、左室射血分数(LVEF)值变化,及治疗期间高血压急性发作次数.结果:与治疗前比较,两组患者治疗后血压明显下降, 6min步行距离、LVEF值明显增加(P均<0.01);且与常规治疗组比较,康复综合疗法组治疗后血压[(136.53 ± 9.25)/(83.52 ± 5.24)mmHg比(118.53 ± 6.53)/(78.42 ± 6.53)mmHg]、BMI[(23.43 ± 3.12)kg/m2比(20.53 ± 2.24)kg/m2]明显下降,6min 步行距离[(325.12 ± 65.39)m 比(368.34 ± 89.52)m]、LVEF [(55.34±4.22)% 比(60.95±2.53)%]明显增加,高血压平均急性发作次数[(6.8±3.5)次比(3.2±1.2)次]明显减少(P均<0.01).结论:康复综合疗法在高血压患者中具有较好的疗效,能够显著降低血压,提高患者的运动能力,改善心功能,减少高血压急性发作次数,值得在临床推广.