健步走联合太极拳对老年高血压患者血压、血糖和血脂的影响

摘要

目的：探讨健步走联合太极拳对老年高血压患者血压、血糖和血脂的影响。方法选取2013年6月至2014年6月期间于我院进行治疗的高血压患者110例，采用随机数表法随机分为观察组和对照组，每组各55例。所有患者均正在服用相同类型的降压药物，对照组患者采用常规干预方法，观察组患者采用健步走联合太极拳干预。随访6个月后观察并比较两组患者的血压、血脂和血糖的变化情况。结果两组患者经干预治疗后的空腹血糖(FPG)、餐后2 h血糖(2 hPG)、收缩压(SBP)、舒张压(DBP)均明显低于干预前，差异均有统计学意义(P<0.05)，且观察组患者治疗后的FPG、2 hPG、SBP和DBP均明显低于对照组，差异均有统计学意义(P<0.05)；两组患者经干预治疗后的总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇（LDL-C）均明显低于干预前，而高密度脂蛋白胆固醇(HDL-C)则明显高于干预前，差异均有统计学意义(P<0.05)，且观察组患者干预后的TC、TG和LDL-C均明显低于对照组，HDL-C明显高于对照组，差异均有统计学意义(P<0.05)。结论健步走联合太极拳的运动干预措施能够控制高血压患者的血压，稳定患者的血压和血糖水平，是一种较好的运动干预措施。%Objective To investigate the influence of vigorous walk combined with Taijiquan (Tai Chi) on blood pressure in elderly hypertensive patients, as well as blood glucose and lipids. Methods One hundred and ten hypertensive patients treated in our hospital from June 2013 to June 2014 were enrolled in the study, which were divid-ed into the observation group and the control group based on a random number table, with 55 cases in each group. All patients were taking the same type of antihypertensive drugs. The control group was treated with conventional inter-ventions, while the observation group adopted vigorous walk combined with Taijiquan for intervention. The patients were followed up for 6 months, and changes in blood pressure, blood lipids and glucose of the two groups were ob-served and compared. Results The fasting plasma glucose (FPG), 2 h postprandial glucose (2 hPG), systolic blood pressure (SBP), diastolic blood pressure (DBP) after intervention in the two groups were all significantly lower than those before the intervention, and the differences were statistically significant (P<0.05). The four indexes after inter-vention were significantly lower in the observation group than the control group, and the differences were statistically significant (P<0.05). After the intervention, total cholesterol (TC), triglyceride (TG), low density lipoprotein cholester-ol (LDL-C) were significantly lower than those before the intervention, and the high-density lipoprotein cholesterol (HDL-C) was significantly higher than that before the intervention. The differences were statistically significant (P<0.05). TC, TG and LDL-C after intervention in the observation group were significantly lower than those in the control group, while HDL-C was significantly higher, all with statistically significant differences (P<0.05). Conclusion Vig-orous walk combined with Taijiquan can control blood pressure in patients with hypertension, as well as blood glucose and lipids levels in patients, which serves as a good sport intervention for hypertensive patients.