刘洵, 赵婉婷, 石晓明, 谭思洁, 林青华, 李淑荣, 王一春, 刘博淼. 2015: L型钙通道阻滞剂和康复运动对冠心病患者血压和血脂状况的影响. 体育科学, 35(6): 45-48,56. DOI: 10.16469/j.css.201506007
    引用本文: 刘洵, 赵婉婷, 石晓明, 谭思洁, 林青华, 李淑荣, 王一春, 刘博淼. 2015: L型钙通道阻滞剂和康复运动对冠心病患者血压和血脂状况的影响. 体育科学, 35(6): 45-48,56. DOI: 10.16469/j.css.201506007
    LIU Xun, ZHAO Wan-ting, SHI Xiao-ming, TAN Si-jie, LIN Qing-hua, LI Shu-rong, WANG Yi-chun, LIU Bo-miao. 2015: Effect of L-type Calcium Channel Blocker and Exercise Training Management on Blood Pressure and Blood Lipids Status of Coronary Heart Disease Patients. China Sport Science, 35(6): 45-48,56. DOI: 10.16469/j.css.201506007
    Citation: LIU Xun, ZHAO Wan-ting, SHI Xiao-ming, TAN Si-jie, LIN Qing-hua, LI Shu-rong, WANG Yi-chun, LIU Bo-miao. 2015: Effect of L-type Calcium Channel Blocker and Exercise Training Management on Blood Pressure and Blood Lipids Status of Coronary Heart Disease Patients. China Sport Science, 35(6): 45-48,56. DOI: 10.16469/j.css.201506007

    L型钙通道阻滞剂和康复运动对冠心病患者血压和血脂状况的影响

    Effect of L-type Calcium Channel Blocker and Exercise Training Management on Blood Pressure and Blood Lipids Status of Coronary Heart Disease Patients

    • 摘要: 目的:探讨L型钙通道阻滞剂和康复运动对冠心病患者血压和血脂状况的影响。方法:13名服用L型钙通道阻滞剂的女性冠心病患者(服药组),17名不服用L型钙通道阻滞剂的女性冠心病患者(未服药组)为本研究的受试者,在康复程序前、后,对她们进行了收缩压(SBP)、舒张压(DBP)、心率(HR)、心率血压乘积(RPP)、血清胆固醇(CHO)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL)和低密度脂蛋白胆固醇(LDL)的测定。结果:1)药物的影响:运动康复程序前,服药组的收缩压和舒张压与未服药组已无显著差异(P>0.05),但其心率显著低于未服药组(P<0.05),两组血脂各项指标间无显著差异的存在(P>0.05)。2)运动的影响:运动康复程序后,未服药组的SBP、HR、RPP和CHO出现了显著的下降(P<0.05和P<0.01)。3)药物与运动的共同影响:运动康复程序后,服药组不仅胆固醇浓度显著下降(P<0.05),而且TG和HDL也有了显著的改善(P<0.05)。结论:适宜的运动对改善冠心病患者的血压、血脂和心肌的耗氧状况有积极的作用;与单纯运动相比,L型钙通道阻滞剂与运动的共同作用对血脂的影响则更为明显。

       

      Abstract: Objective:To examine effect of L-type calcium channel blocker and exercise training management on blood pressure and blood lipids status of coronary heart disease patients.Methods:Thirty female coronary heart disease patients were recruited as subjects in the study.Then,according to with or without L-type calcium channel blockers management,they were subdivided into two groups,i.e.medication group(n=13)and non-medication group(n=17).After that,values of systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR),rate-pressure product(RPP),and total(CHO),low-density lipoprotein(LDL),high-density lipoprotein(HDL)cholesterol levels and data on triglyceride(TG)were obtained from the patients both pre and post a 12-week exercise based rehabilitation program.Results:1)Effects of medication:The medication group showed a similar level of blood pressure to the non-medication group(P>0.05)pre the exercise training program,but its HR was significantly lower than that of the non-medication group(P<0.05).There was a non significant difference between the two groups for values of any blood lipids variables(P >0.05).2)Effects of exercise training:Compared with pre program,values of SBP,HR,RPP and CHO showed a significant decrease in non-medication group post the program(P<0.05 and P<0.01).3)Combined effects of medication and exercise training:Compared with pre program,blood lipids status,not only CHO but also TG and HDL levels improved significantly in medication group post the program(P<0.05).Conclusion:Optimal exercise training demonstrated apositive effect on blood pressure,blood lipids and myocardial oxygen consumption status improving in coronary heart disease patients.Compared with exercise alone,L-type calcium channel blocker plus exercise training management provided more benefits for blood lipids modifying in the patients.

       

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