王大朋, 张爱华, 李军, 曾奇兵, 马璐, 陈雄, 邹忠兰, 王祺, 王庆陵. 温泉泡浴对血压正常高值人群血压、静息心率、心血管功能指标及体征的干预效果[J]. 上海预防医学, 2021, 33(S1): 21-26. DOI: 10.19428/j.cnki.sjpm.2020.21180
引用本文: 王大朋, 张爱华, 李军, 曾奇兵, 马璐, 陈雄, 邹忠兰, 王祺, 王庆陵. 温泉泡浴对血压正常高值人群血压、静息心率、心血管功能指标及体征的干预效果[J]. 上海预防医学, 2021, 33(S1): 21-26. DOI: 10.19428/j.cnki.sjpm.2020.21180
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WANG Da-peng, ZHANG Ai-hua, LI Jun, ZENG Qi-bing, MA Lu, CHEN Xiong, ZOU Zhong-lan, WANG Qi, WANG Qing-ling. Intervention effects of hot spring bathing on blood pressure, resting heart rate, cardiovascular function indicators and physical signs in population with high-normal blood pressure[J]. Shanghai Journal of Preventive Medicine, 2021, 33(S1): 21-26. DOI: 10.19428/j.cnki.sjpm.2020.21180
Citation: WANG Da-peng, ZHANG Ai-hua, LI Jun, ZENG Qi-bing, MA Lu, CHEN Xiong, ZOU Zhong-lan, WANG Qi, WANG Qing-ling. Intervention effects of hot spring bathing on blood pressure, resting heart rate, cardiovascular function indicators and physical signs in population with high-normal blood pressure[J]. Shanghai Journal of Preventive Medicine, 2021, 33(S1): 21-26. DOI: 10.19428/j.cnki.sjpm.2020.21180
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温泉泡浴对血压正常高值人群血压、静息心率、心血管功能指标及体征的干预效果

Intervention effects of hot spring bathing on blood pressure, resting heart rate, cardiovascular function indicators and physical signs in population with high-normal blood pressure

    摘要
  • 摘要:
    目的观察温泉泡浴对血压正常高值人群血压、静息心率、心血管功能相关指标及体征的干预效果。
    方法以贵州省典型温泉地区人群为调查对象，根据课题组前期流行病学调查及泡浴干预前体检结果，结合纳入与排除标准，选择体检结果为血压正常高值的217例人群为观察对象进行为期4周的温泉泡浴干预，每天1次，每周5次，每次40~50 min。泡浴结束后检测人群血压、静息心率及血清肌酸激酶(CK)、乳酸脱氢酶(LDH)及α-羟丁酸脱氢酶(α-HBDH)水平，临床问诊心血管相关体征(心慌/心悸、头晕/头痛、咳嗽/咳痰、盗汗)改善情况。采用SPSS 23.0软件进行相关统计学分析。
    结果配对t检验结果显示，温泉泡浴后217例人群收缩压、舒张压及静息心率值较泡浴前均显著降低(均P < 0.01)。血压、静息心率改善情况结果显示，泡浴前217名血压正常高值人群在泡浴后下降至128人; 泡浴前217名血压正常高值人群静息心率在80~90次/min之间者95人， > 90次/min者35人，泡浴后分别下降至68人和14人。心血管功能血清学指标检测显示，泡浴干预对血压正常高值人群血清CK、LDH、α-HBDH水平均有一定降低作用，其中CK水平较泡浴前显著降低(P < 0.05)。临床问诊结果显示，温泉泡浴对血压正常高值人群心慌/心悸、头晕/头痛、咳嗽/咳痰、盗汗等心血管相关体征均有明显改善作用。
    结论贵州省典型温泉泡浴可一定程度上降低血压正常高值人群的血压及静息心率水平，部分改善其心血管功能相关指标及体征。

     

    Abstract:
    ObjectiveTo investigate the effects of hot spring baths on blood pressure, resting heart rate, cardiovascular function related indicators and physical signs in population with high-normal blood pressure.
    MethodsResidents of typical hot spring areas in Guizhou Province were included as the subjects. According to the epidemiological survey of the research group and the physical examination results before the intervention, combined with the inclusion and exclusion criteria, a total of 217 people with high normal blood pressure were selected as the observation subjects. The intervention of hot spring baths was carried out for four weeks, once time per day, 5 times per week, for 40-50 minutes each time. After the intervention, the blood pressure, resting heart rate and serum levels of creatine kinase(CK), lactate dehydrogenase(LDH), and α-hydroxybutyrate dehydrogenase(α-HBDH)were detected, and the improvement of cardiovascular related signs(palpitation, dizziness/headache, cough/sputum and night sweats)were clinically examined. SPSS 23.0 software was used for statistical analysis.
    ResultsPaired t-test results showed that the systolic blood pressure, diastolic blood pressure and resting heart rate of 217 high normal blood pressure subjects were significantly lower after hot spring baths(P < 0.01). Further analysis revealed that the number of people with high normal blood pressure dropped from 217 to 128 after the hot spring baths. Before the intervention, 95 of the 217 people with high-normal blood pressure had resting heart rates between 80 and 90 beats/min, and 35 of them above 90 beats/min. After the intervention, the resting heart rates of those above people decreased to 68 and 14, respectively. Serum levels of cardiovascular related indicators showed that CK, LDH, and α-HBDH levels in people with high-normal blood pressure decreased to some extent after the intervention, and CK level was significantly lower than that before the intervention(P < 0.05). The results of clinical examination showed that hot spring baths had a significant improvement effect on palpitation, dizziness/headache, cough/expectoration, and night sweats in people with high-normal blood pressure.
    ConclusionThe typical hot spring baths in Guizhou Province can reduce the blood pressure and resting heart rate in population with high-normal blood pressure, and improve the cardiovascular function related indicators and physical signs to a certain extent.

     

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