康复运动联合代谢当量对老年高血压患者预后效果的影响分析

黄巧梅　曾海涓　蒋裕娟　韦海红　陆林林　肖玉华

【摘要】 目的：分析康復运动联合代谢当量对老年高血压患者预后效果的影响。方法：选取2017年8月-2018年8月在本院住院治疗的100例老年高血压患者为研究对象，按照随机数字表法将其分为试验组和对照组，各50例。对照组采用高血压常规护理，试验组在对照组基础上采用康复运动联合代谢当量护理。比较两组护理前后的动态血压（nDBP、dDBP、mSBP、nSBP、mDBP、dSBP）、左室射血分数（LVEF）、Barthel指数（BI）及血液流变学指标。结果：护理后，两组nDBP、dDBP、mSBP、nSBP、mDBP、dSBP均低于护理前，且试验组均低于对照组，差异均有统计学意义（P<0.05）;护理后，两组LVEF及BI指数均高于护理前，且试验组均高于对照组，差异均有统计学意义（P<0.05）;护理后，两组红细胞比容、血浆黏度、低切全血黏度及高切全血黏度均低于护理前，且试验组均低于对照组，差异均有统计学意义（P<0.05）。结论：康复运动联合代谢当量有助于改善老年高血压患者动态血压、LVEF、BI及血液流变学，值得推广。

【关键词】 康复运动; 代谢当量; 老年高血压; 预后效果

【Abstract】 Objective：To analyze the effect of rehabilitation exercise combined with metabolic equivalent on the prognosis of elderly patients with hypertension.Method：A total of 100 elderly hypertensive patients hospitalized in our hospital from August 2017 to August 2018 were selected as the study subjects.According to the random number table method，they were divided into experimental group and control group，50 cases in each group.The control group received routine nursing for hypertension，while experimental group received rehabilitation exercise combined with metabolic equivalent nursing on the basis of control group.The ambulatory blood pressure（nDBP，dDBP，mSBP，nSBP，mDBP，dSBP），left ventricular ejection fraction（LVEF），Barthel index（BI）and hemorheological indexes before and after nursing between two groups were compared.Result：After nursing，the nDBP，dDBP，mSBP，nSBP，mDBP and dSBP in two groups were lower than those of before nursing，and experimental group were lower than those of control group，the differences were statistically significant（P<0.05）.After nursing，the LVEF and BI index of two groups were higher than those of before nursing，and experimental group were higher than those of control group，the differences were statistically significant（P<0.05）.After nursing，the specific volume of erythrocyte，plasma viscosity，low shear whole blood viscosity and high shear whole blood viscosity of two groups were lower than those of before nursing，and experimental group were lower than those of control group，the differences were statistically significant（P<0.05）.Conclusion：Rehabilitation exercise combined with metabolic equivalent is helpful to improve ambulatory blood pressure，LVEF，BI and hemorheology in elderly patients with hypertension，which is worth promoting.

【Key words】 Rehabilitation exercise; Metabolic equivalent; Elderly hypertension; Prognosis effect

First-authors address：Guangxi Zhuang Autonomous Region Jiangbin Hospital，Nanning 530021，China

doi：10.3969/j.issn.1674-4985.2019.08.021

高血压是老年人群中的一种高发疾病，该疾病不仅会导致患者血管破坏，而且已成为心脑血管疾病的一种独立性危险因素，目前临床上除了采用药物治疗控制高血压的发生发展外，运动康复疗法已逐渐成为研究的热点[1]。然而，高血压患者运动方案的制定尚无统一标准，代谢当量是目前得到国际广泛认可并被普遍使用的体力活动强度评估方法之一，代谢当量可以客观定量表达各种活动方式的强度及活动量大小，根据各种活动的代谢当量值就能了解该活动的量，推荐给高血压患者使之在所能达到的代谢当量内进行活动，即可克服活动量不足，又能避免活动量过大[2]。当前，国内外运用此方法制定护理运动方案的研究较少。本院近年来将康复运动联合代谢当量应用于老年高血压患……