华宇肖伟季玲琳李瑛（.安徽中医药大学 合肥 3003；.上海市徐汇区华泾镇社区卫生服务中心 上海 003）

降压操对Ⅰ期高血压血压影响的对照研究

华宇1肖伟1季玲琳2李瑛2
（1.安徽中医药大学 合肥 230031；2.上海市徐汇区华泾镇社区卫生服务中心 上海 200231）

摘 要目的：探讨降压操对社区Ⅰ期高血压的效果。方法：将120例原发性Ⅰ期高血压患者随机分为对照组（降压药物治疗）和治疗组（降压保健操+降压药物治疗），每组60例；6个月后对照比较降压效果。结果：降压和中医临床症状改善治疗组优于对照组（P<0.05）；6个月后随访两组降压差异不大（P>0.05）。结论：降压保健操对社区Ⅰ期高血压患者血压稳定有效果，有推广价值。

关键词高血压 降压操 血压控制

Control study of the impact of the buck exercises on the blood pressure of the stageⅠhypertension

HUA Yu1, XIAO Wei1, JI Linglin2, LI Ying2
(1. Anhui University of Traditional Chinese Medicine, Hefei 230031, China; 2. Huajing Community Health Service Center of Xuhui District, Shanghai 200231, China)

ABSTRACTObjective: To explore the effect of the buck exercises on the blood pressure of the stage 1 hypertension in the community. Methods: One hundred and twenty patients with the stage 1 primary hypertension were randomly divided into a control group (antihypertensive drug treatment), and a treatment group (buck exercises and antihypertensive drug with 60 cases each. At the end of 6 months, their reduction effect of the blood pressure was compared. Results: The blood pressure reduction and the improvement of the Chinese medicine clinical symptoms in the treatment group were superior to those in the control group (P<0.05), and following-up after 6 month showed that there was no great significant difference between the two groups (P>0.05). Conclusion: The buck exercises have the effect in stabilizing the blood pressure of the patients with stage 1 hypertension in the community, and is worthy of popularization.

KEY WORDSblood pressure; buck exercises; blood pressure control

本文报道对社区120例原发性Ⅰ期高血压患者实施降压保健操干预的效果。

1 资料与方法

1.1 一般资料

选择2013年1月-2014年1月华泾社区符合入选标准的Ⅰ期高血压患者120例，随机分为对照组和治疗组各60例。治疗组中男33例，女27例，年龄(59±4.26)岁；对照组中男28例，女32例，年龄（61±3.10）岁；病程均在5年以内，两组患者一般情况具可比性。

1.2 方法

1.2.1 入选和排除标准

纳入标准：①在未用抗高血压药情况下，非同日3次测量收缩压140~159 mmHg和(或)舒张压90~99 mmHg者，目前正在服用抗高血压药，血压虽低于140/90 mmHg者[1]。②年龄50～70岁。③单纯服用苯磺酸氨氯地平片（扬子江药业）降压治疗。④自愿参加并签署知情同意书。

排除标准：①继发性高血压者；②有严重并发症；③患精神疾病；④不能坚持锻炼或中途退出者。

1.2.2 治疗方法

对照组单纯服用苯磺酸氨氯地平片5 mg qd，降压治疗加一般性健康指导。……