女性高血压患者心肺运动试验中血压经时变化研究

doi:10.3969/j.issn.1006-9771.2020.06.017

摘要/Abstract

摘要：

目的探讨女性高血压患者心肺运动试验中,随运动强度增加血压的经时变化及其临床意义。方法选取本院2018年8月至2019年8月心肺运动试验排除心肌缺血,且未服用β受体阻滞剂及非二氢吡啶类钙离子拮抗剂的1级、2级高血压女性患者64例(高血压组),以及同期心肺运动试验排除心肌缺血的年龄匹配的健康女性86例(非高血压组),比较两组心肺运动试验中随运动强度增加血压的经时变化。结果高血压组运动中静息3 min时血压、无氧阈值时血压和峰值血压均显著高于非高血压组(Z > 3.306,P<0.001)。两组峰值摄氧量无显著性差异(Z = 1.549, P > 0.05)。结论 1级和2级高血压患者血压对运动的反应容易过度升高,在日常体育运动训练及运动康复中应关注血压的变化。

关键词: 高血压, 心肺运动试验, 血压

Abstract:

Objective To explore the time-dependent changes of blood pressure with the increase of exercise intensity and its clinical significance in Cardiopulmonary Exercise Test for female patients with hypertension.Methods From August, 2018 to August, 2019, 64 patients (hypertension group) who did not take β-receptor blockers and dihydropyridine calcium antagonists were selected from grade 1 and grade 2 hypertension women excluding myocardial ischemia with Cardiopulmonary Exercise Test. And 86 healthy women (non-hypertension group) excluding myocardial ischemia from the same period of Cardiopulmonary Exercise Test were selected as the controls for retrospective analysis. The time-dependent changes of blood pressure with the increase of exercise intensity were compared between two groups. Results The blood pressures at resting for three minutes, anaerobic threshold and peak were significantly higher in the hypertension group than in the non-hypertension group (Z > 3.306, P < 0.001). There was no significant difference in peak oxygen uptake between two groups ( Z = 1.549, P > 0.05). Conclusion The blood pressure of the patients with grade 1 and grade 2 hypertension is prone to over elevation, who should pay more attention on blood pressure in sports and rehabilitation.

Key words: hypertension, Cardiopulmonary Exercise Test, blood pressure

中图分类号:

R544.1

杨威,李寿霖,王国栋,陈思远,刘杰,林伟,郑志昌,王晓荣. 女性高血压患者心肺运动试验中血压经时变化研究[J]. 《中国康复理论与实践》, 2020, 26(6): 711-714.

YANG Wei,LI Shou-lin,WANG Guo-dong,CHEN Si-yuan,LIU Jie,LIN Wei,ZHENG Zhi-chang,WANG Xiao-rong. Time-dependent Changes of Blood Pressure in Cardiopulmonary Exercise Test for Females with Hypertension[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(6): 711-714.

图/表 3

参考文献 30

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组别	n	年龄(岁)	吸烟史〔n(%)〕	体质量指数(kg/m²)
高血压组	64	59.67±8.22	15(23.44)	25.12±2.41
非高血压组	86	60.04±8.35	21(24.42)	25.50±2.73
Z/χ²值		0.271	0.019	0.902
P值		0.316	0.153	0.521

项目		高血压组(n = 64)	非高血压组(n = 86)	Z值	P值
静息血压	收缩压	127.5±17.3	113.8±17.1	4.821	< 0.001
静息血压	舒张压	80.4±10.2	74.8±7.9	3.625	< 0.001
无氧阈值	收缩压	156.6±21.5	137.6±24.2	5.072	< 0.001
无氧阈值	舒张压	82.9±10.9	77.2±9.8	3.306	< 0.001
峰值血压	收缩压	182.9±18.2	163.9±24.1	5.501	< 0.001
峰值血压	舒张压	90.7±13.2	81.9±11.9	4.210	< 0.001

组别	n	VO_2peak
高血压组	64	1328.6±68.7
非高血压组	86	1345.8±65.3
Z值		1.549
P值		0.431