摘要
目的 探究高强度间歇性训练对于原发性高血压患者血压稳态、心功能的影响。方法 选取本院在2019年4月-2021年9月期间接受治疗的原发性高血压患者100例，根据干预方式将患者分为对照组以及研究组，对照组患者行中等强度持续训练，研究组患者行高强度间歇性训练，对比两组患者训练前后血压稳态情况、心功能情况。结果 两组患者训练干预前血压稳态情况对比差异无统计学意义（P＞0.05），研究组患者训练16周后收缩压高于对照组（P＜0.05），而舒张压低于对照组（P＜0.05），差异具有统计学意义；两组患者训练前心功能各指标评价差异不明显（P＞0.05），研究组患者训练16周左室内径缩短率、左室射血分数、每搏输出量均高于对照组 (P<0.05)，而每分输出量低于对照组（P＜0.05）。结论 原发性高血压患者康复期间使用高强度间歇性训练干预，能够有效的控制血压，改善心功能情况。
关键词： 原发性高血压；高强度；间歇性训练；血压稳态；心功能
Abstract
Objective: To explore the effect of high-intensity intermittent training on blood pressure homeostasis and cardiac function in patients with essential hypertension. Methods: 100 patients with essential hypertension treated in our hospital from April 2019 to September 2021 were selected. According to the intervention method, the patients were divided into control group and study group. The patients in the control group received medium-intensity continuous training and the patients in the study group received high-intensity intermittent training. The blood pressure homeostasis and cardiac function of the two groups were compared before and after training. Results: there was no significant difference in blood pressure homeostasis between the two groups before training intervention (P > 0.05). After 16 weeks of training, the systolic blood pressure in the study group was higher than that in the control group (P < 0.05), while the diastolic blood pressure was lower than that in the control group (P < 0.05); There was no significant difference in the evaluation of various indexes of cardiac function between the two groups before training (P > 0.05). The shortening rate of left ventricular inner diameter, left ventricular ejection fraction and stroke output in the study group were higher than those in the control group after 16 weeks of training (P < 0.05), while the output per minute was lower than that in the control group (P < 0.05). Conclusion : the use of high-intensity intermittent training intervention during the rehabilitation of patients with essential hypertension can effectively control blood pressure and improve cardiac function.
Key words： Essential Hypertension; High Strength; Intermittent Training; Blood Pressure Homeostasis; Cardiac Function
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