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目的 探讨军队中年高血压病患者在职疗养对心血管的康复作用。方法 对2 0 0例来自不同部队的中年高血压病疗养员,分别采用海水浴体疗(体疗组)、传统休养法(休养组)作3～4个疗程康复疗养。分析、对比各组疗养前后血压、心率、收缩压与心率乘积、心电图、左室功能的参数变化。结果 海水浴体疗组血压、心率、左室功能等各参数与疗养前比较均有非常显著改善(P<0 .0 1) ,心电图示早搏发生率、ST- T改变率明显降低;休养组疗养后血压呈明显改善(P<0 .0 1) ,其余参数变化不显著(P>0 .0 5 ) ,心电图上呈轻度改变;两组各参数疗养前比较均无显著性差异(P>0 .0 5 ) ,与疗养后比较均有非常显著性差异(P<0 .0 1)。结论 一定疗程的在职疗养可使中年高血压病患者的血压降低,疗养中采用海水浴体疗更有益于患者调整心率、减少心律紊乱、改善心肌供血、提高左心功能。
Objective To investigate the effect of on-the-job cardiovascular rehabilitation on middle-aged hypertensive patients in military. Methods Two hundred and twenty cases of middle-aged hypertension patients from different units were treated with thalassotherapy (physical therapy group) and traditional treatment group (rest group) for three to four cycles of rehabilitation. Analysis, compared before and after convalescence blood pressure, heart rate, systolic blood pressure and heart rate product, ECG, left ventricular function parameters. Results The parameters of blood pressure, heart rate and left ventricular function in sea water bath therapy group were all significantly improved (P <0.01), the incidence of premature beats and the change rate of ST- (P <0.01), the other parameters did not change significantly (P> 0.05), mild changes on the electrocardiogram (ECG); There was no significant difference between the two groups before treatment (P> 0 .0 5), compared with after treatment were very significant differences (P <0. 01). Conclusions The on-the-job treatment of a certain course of treatment can reduce the blood pressure of middle-aged hypertensive patients. It is more beneficial to adjust the heart rate, reduce the arrhythmia, improve the myocardial blood supply and improve the left ventricular function.