《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (6): 513-514.

• 论文 • 上一篇    下一篇

不同康复运动训练方式下脑卒中患者运动后即刻血压的变化

黄泽华,谭恒,纪荣文,蔡艺芳,程光雄,李文辉   

  1. 厦门市残联康复医院,福建厦门市361100。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-06-25 发布日期:2012-06-25

Change of Instant Blood Pressure after Different Rehabilitation Exercises for Stroke Patients

HUANG Ze-hua, TAN Heng, JI Rong-wen, et al.   

  1. Xiamen Disabled Persons Federation Rehabilitation Hospital, Xiamen 361100, Fujian, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-06-25 Online:2012-06-25

摘要: 目的探索不同运动训练方式对脑卒中患者血压的影响。方法将60 例患者分为A、B、C 三组,分别采用以下3 种运动方式:①坐位,分次抬双臂前屈肩70°以上40~50 次,共3 min;②坐位,持续抬双臂前屈肩70°以上,维持3 min;③缓慢步行3 min(45 步以上),每种运动测3 d。监测运动训练前和训练后即刻的肱动脉血压和脉搏。结果B组运动后收缩压、舒张压明显升高(P<0.01),A、C 组无明显变化(P>0.05)。运动后,三组脉搏均有提高,且三组间无显著性差异(P>0.05)。结论持续的等长收缩会引起血压明显增高,高血压患者应避免此类运动方式。

关键词: 运动训练, 等长运动, 脑卒中, 血压

Abstract: Objective To explore the change of instant blood pressure after different rehabilitation exercises for stroke patients. Methods60 stroke patients were divided into Groups A, B and C. Group A raised both arms and ante flexed shoulders >70° in seat intermittently40~50 times in 3 minutes; Group B raised both arms and ante flexed shoulders >70° in seat continually for 3 minutes (isometric); Group Cwalked slowly more than 45 steps in 3 minutes. The brachial artery blood pressure and pulse of patients were monitored before and immediatelyafter training. Results The blood pressure of Group B raised significantly after training (P<0.05). Groups A and C did not raise significantlyafter training (P>0.05). The pulse of all the groups raised and there was no significant difference among them after training (P>0.05).Conclusion Continuous persistent isotonic contraction can cause elevation of blood pressure, which patients with hypertension should avoid.

Key words: exercise, isotonic exercise, stroke, blood pressure