What types of hypertensives respond better to mild exercise therapy?
What types of hypertensives respond better to mild exercise therapy?
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哪些类型的高血压对轻度运动疗法反应更好？
DOI：
10.1097/00004872-198812040-00198
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发表时间：
1988
影响因子：
4.9
通讯作者：
K. Arakawa
中科院分区：
文献类型：
--
作者：
A. Kinoshita;H. Urata;Yohichi;M. Ikeda;Hiroaki Tanaka;M. Shindo;K. Arakawa
对21例原发性高血压患者进行有氧运动（乳酸阈）治疗（n = 21），并与非运动性高血压对照组（n = 10）的血压变化进行比较。经过10周的运动治疗后，运动组的血压显著降低，从154 ± 3/100 ± 2降至141 ± 3/93 ± 3 mmHg，血浆容量、心脏指数和血浆去甲肾上腺素显著降低，而非运动组无变化。在训练前研究中，运动组的应答者（平均血压下降10 mmHg或更多）的心脏指数、血清Na：K比值显著高于非应答者，总外周阻力显著低于非应答者。结论：乳酸阈运动对心脏指数和血清钠钾比值较高的轻度高血压患者有降压作用。
Twenty-one patients with essential hypertension were treated with aerobic (lactate threshold) exercise (n = 21) and the change in blood pressure was compared with that in a non-exercising hypertensive control group (n = 10). After 10 weeks of exercise therapy blood pressure in the exercise group was significantly reduced, from 154 ± 3/100 ± 2 to 141 ± 3/93 ± 3 mmHg, and there was a significant reduction in plasma volume, cardiac index and plasma noradrenaline whereas there were no changes in the non-exercise group. Responders (10 mmHg or more fall in mean blood pressure) in the exercise group had a significantly higher cardiac index, serum Na: K ratio and lower total peripheral resistance in pretraining studies than non-responders. In conclusion, exercise at lactate threshold is effective in lowering blood pressure in those mild hypertensives with higher cardiac index and serum Na: K ratio.