老年高血压运动医疗前、后的左心功能变化

目的：探讨康复运动对老年高血压左心功能的影响。方法：选择Ⅰ、Ⅱ级高血压病人40例，随机分为A组（药物治疗组）、B组（药物＋运动组）。A组口服苯那普利，B组口服苯那普利同时进行康复有氧运动，3个月后行彩色超声心动图复查。结果：两组病人接受3个月治疗后，心功能及血压都有改善，但B组病人心功能改善明显优于单一药物治疗组，其左室内径缩短率及射血分数，每搏量均比治疗前显增加（P＜0．01，0．01，0．05）。结论：康复运动不仅有降低高血压病人血压的作用，且对轻度心功能不全还有增强心功能的作用。

Change of left heart function after rehabilitation exercise therapy in aged patients with hypertension

Objective:To study the change of left heart function after rehabilitation exercise therapy in aged patients with hypertension. Methods:Forty aged patients with hypertension(stage 1?2) were equally divided into A group (drug therapy) and B group (drug therapy rehabilitation exercise) randomly. Echocardiogram examinations were executed after 3 months.Results:Left heart function of all 40 patients increased, but that of B group patients significantly increased when compared with A group patients. Left ventricular ejection fraction(LVEF)?left ventricular internal diameter shorting fraction(FS)?stroke volume(SV) of B group patients significant increased after 3 months( P <0 01,0 01,0 05 respective).Conclusion:Exercise rehabilitation therapy may significantly increase left heart function for patients with mild left heart dysfunction.