规律耐力运动对乳癌病人术前血压的作用

目的 探讨耐力运动对乳癌病人稳定术前血压的效果。方法 30例乳癌病人，每天进行慢跑运动，锻炼强度为每次运动后心率增加值不超过20min^-1，每天锻炼1次，每周锻炼3～4次，每次30min，连续锻炼2个月。用焦虑症状自评量表监测运动前后心理状态；比较病人运动前1d、运动后第20、40、60天血压、心率（HR）的变化。结果 运动后病人收缩压（SBP）、舒张压（DBP）显著降低，HR升高，差异有显著性（F=14．03～253．84，q=16．19～49．03，P〈0．05）；运动后第20、40、60天血压改善者不断增多（χ^2=20．00～40．00，P〈0．05）；运动后焦虑症状较运动前有显著改善。结论 耐力运动能改善乳癌病人焦虑状态，稳定术前血压。

EFFECT OF REGULAR AND ENDURANCE EXERCISE ON PREOPERATIVE BLOOD PRESSURE IN PATIENTS WITH BREAST CANCER

Objective To investigate the effect of exercise tolerance on stabilizing preoperative blood pressure （BP） in patients with breast cancer. Methods Jogging exercise was conducted in 30 breast cancer patients, 3-4 times a week for two months, 30 mix/time, the increase value of the heart rate （HR） after exercise was 〈 20 min^-1. The symtom checklist of anxiety was applied to monitor the mental state before and after the exercise; the changes of BP and HR one day before the exercise and on days 20, 40 and 60 after the exercise were compared. Results The BP declined and HR rose after exercise, the differences were significant compared with before exercise （F= 14.03-253.84;q= 16.19-49.03;P〈0.05）; and the number of improvement increased with the increasing days of the exercise. Conclusion The exercise tolerance can improve the anxiety state and stabilize preoperative blood pressure of patients with breast cancer.