海水浴医疗康复体操对原发性高血压患者心肌Tei指数的影响(1)
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【摘 要】 目的 探讨原发性高血压患者疗养期间在海水浴环境中开展医疗康复体操前后的心肌做功指数(Tei指数)变化。方法 ①依据鼓浪屿海水浴场及原发性高血压疗养员的身体特点,编排了一套(6节)海水浴中的体疗动作,每节时间10 min,由体疗医生带领完成。②对海水浴康复体疗组(Ⅰ组)100例原发性高血压患者作入院时、行海水浴医疗体操1个月后的心肌Tei指数测定,并以未作疗养的门诊100例原发性高血压患者(对照组,Ⅱ组)门诊治疗1月前后的Tei指数为对照,对比两组患者的心功能变化。结果 ①所设计的海水浴医疗康复体操充分利用了海水的特点,患者肢体在水中能得到充分舒展与运动,动作简单易学,无不适反应出现。②Ⅰ组与Ⅱ组疗养前两组Tei指数的比较差异无统计学意义(t=0.231,P>0.05),疗养1月后Tei指数比较两组差异有显著统计学意义(t=5.744,P<0.01)。Ⅰ组疗养后Tei指数显著降低,疗养前、后差异有显著统计学意义(t=22.313,P<0.01),Ⅱ组门诊治疗1月前后Tei指数无明显变化(t=0.520,P>0.05)。结论 海水浴医疗康复体操新颖、易学、安全,对降低疗养期原发性高血压患者的Tei指数,改善全身血氧供应、提高心功能有理想的康复疗效。
【关键词】高血压;海水浴疗法;体操;康复;Tei指数
【Abstract】Objective To investigate the influence of medical gymnastics of sea-water bath on the Tei index of the patients with primary. hypertension.Methods ①According to the features of Gulangyu seashore and the healthy conditions of the patients with primary hypertension, a set of medical gymnastics of sea-water bath ,which consists of 6 parts each continuing 10 minutes, was performed under the instruction of the physicians.②One hundred patients with primary. hypertension (groupⅠ) were treated with sea-water bath exercise therapy .One hundred outpatients with primary. hypertension without recuperation were treated routine treatment as a control(group II).After one month, the change of Tei index was compared and analyzed between the two groups. Results ①Patients could extend and move their limbs freely in the healthy gymnastics which made full use of characteristic of seawater. It was easy to learn without side reaction.②There were no significant difference of Tei index between the two groups before recuperation(t=0.231,P>0.05). After one month, there was statistical significance of Tei index between the two groups(t=5.744,P<0.01). The Tei index in group I after recuperation was significantly lower than that before recuperation (t=22.313,P<0.01), while there was no obvious change of Tei index in group II(t=0.520,P>0.05).ConclusionMedical gymnastics is novel, safe and easy to learn.It has satisfactory rehabilitative effect of decreasing the Tei index ,improving blood oxygen supply and enhancing cardiac function for the patients with primary hypertension during the convalescence.
【Key words】 Hypertension;Sea-water bath exercise therapy;Gymnastics;Recuperation;Tei index
原发性高血压是当前危害健康的主要心血管疾病之一,故有效预防与治疗高血压病对健康甚为重要。海水浴是海滨疗养院的一项重要体疗项目,海水浴疗法具有消除疲劳,增强体质,防治疾病,促进康复的明显效果[1]。本院在总结32年海水浴工作实践中,针对近几年来疗养人数的增多,原发性高血压患者年龄逐渐年轻化,鼓浪屿海水浴场常年气候宜人,每年进行海水浴治疗的时间较长等情况,于2005年6月起设计、应用了一套适合患有原发性高血压者在海水中运动的康复体操,并作了疗养前后心肌做功指数(Tei指数)检测,旨在探讨一定疗程的海水浴体疗运动对原发性高血压患者的心脏康复效果 ......
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