【摘要】 目的 :探讨老年人高血压及伴冠心病患者康复运动的监护。方法 :高血压及伴冠心病患者 1118例 ,有运动适应症 ,经运动评估 ,作健身房运动 2 0～ 30分钟。观察运动前、后精神状态 ,自觉症状 ,心率 ,血压 ,氧饱和度(Sa O2 )的变化。结果 :病人运动后 3～ 5分钟 :收缩压平均下降 2 .0 9mm Hg,舒张压平均下降 0 .72 mm Hg,心率上升 5 .17次 /分 ,均为 P≤ 0 .0 0 1,Sa O2 运动前、后无明显变化 ,大多数患者运动后自觉轻松、爽快 ,副作用少见。结论 :严格监护下的低～中等强度运动后 ,老年高血压或伴冠心病病人的血压有一定程度下降 ,而且安全。更多还原

【Abstract】 Objective:To study monitoring of rehabilitation exercise in elderly patients with hypertension and hypertension complicated coronary heart disease(CHD).Methods:There are 1118 patients with hypertension and hypertension complicated CHD,after exercise testing they exercise 20~30 minutes in gym.To observe the state of mind,subjective symptom,heart rate,blood pressure and SaO 2 before and after exercise.Results:After stopping exercise about 3~10 minutes,the patient’s mean systolic blood pressure(SBP) decreased by 2.09 mmHg,the diastolic blood pressure(DBP) decreased by 0.72 mmHg,the heart rate increased by 5.17 beats per minute,P≤0.001 all.SaO 2 had no-significant variation before and after exercise.After exercise the majority of patients felt comfortable,patients had not serious side effect.Conclusion:The exercise of low-middle strength can decrease blood pressure for elderly patients with hypertension and hypertension complicated CHD,it is feasible and safety.更多还原