有氧运动对白大衣高血压患者血压的影响(英文)

目的:观察有氧运动对白大衣高血压(WCH)患者血压的影响。方法:51例新近确诊的WCH患者被随机分为运动组(26例)和WCH对照组(25例),运动组接受了有氧运动锻炼训练(等速平地步行,2次/d,50～80 min/次,持续3个月);WCH对照组未进行运动训练。两组患者在确诊时和3个月后分别进行了诊室血压(OBP)和24h动态血压(ABPM)检测。结果:两组患者首次检测各项OBP和ABPM指标无显著差异(P均>0.05);3个月后运动组OBP和ABPM各指标较干预前明显降低,且明显低于WCH对照组,OBP[OSBP:(132.54±17.60)mmHg比(143.68±20.35)mmHg、ODBP:(89.12±18.39)mmHg比(92.75±17.24)mm-Hg],ABPM[mSBP:(121.57±20.86)mmHg比(128.06±19.45)mmHg、mSDP:(76.24±15.28)mmHg比(84.55±17.31)mmHg和dSBP:(124.27±22.50)mmHg比(130.85±24.61)mmHg、dSDP:(77.95±18.42)mmHg比(82.36±17.59)mmHg],P<0.05～<0.01。结论:有氧运动可显著降低白大衣高血压患者血压。

Influence of aerobic exercise on blood pressure in patients with white coat hypertension

Objective： To observe influence of aerobic exercise on blood pressure in patients with white coat hypertension （WCH）. Methods： A total of 51 newly diagnostic WCH patients were randomly divided into exercise group （n =26） and WCH control group （n= 25）. Patients in exercise group received aerobic exercise training （walking on flat ground by constant speed, twice a day, 50-80 min each time for three months） ; The WCH control group did not exercise. Office blood pressure （OBP） and 24h ambulatory blood pressure monitoring （ABPM） were measured in both groups before and three months after treatment. Results： There were no significant difference in indexes of OBP and ABPM between two groups before treatment （P〉0.05）. After three months, compared with before treatment, indexes of OBP and ABPM significantly decreased in exercise group and they were significantly lower than those of WCH control group in OBP [OSBP： （132.54± 17.60） mmHg vs. （143.68 ±20.25） mmHg, ODBP： （89. 12±18.39） mmHg vs. （92.75±17.24） mmHg] and ABPM [ mSBP： （121.57±20.86） mmHg vs. （128.06± 19.45） mmHg, mDBP： （76.24±15.28） mmHg vs. （84.55±17.31） mmHg; dSBP： （124.27±22.50） mmHg vs. （130.85±24.61） mmHg, dDBP： （77.95±18.42） mmHgvs. （82.36±17.59） mmHg], P〈0.05-0.01. Conclusion： Aerobic exercise can significantly improve blood pressure in patients with white coat hypertension.