实用肝脏病杂志 ›› 2015, Vol. 18 ›› Issue (5): 508-511.doi: 10.3969/j.issn.1672-5069.2015.05.015

• 脂肪性肝病 • 上一篇    下一篇

快步走联合太极拳锻炼对高龄非酒精性脂肪性肝病合并高血压患者血压和肝功能的影响*

胡利勋,杨建全   

  1. 712046 陕西省咸阳市 陕西中医学院体育部(胡利勋);西安医学院体育部(杨建全)
  • 收稿日期:2015-01-16 出版日期:2015-09-10 发布日期:2016-02-18
  • 通讯作者: 杨建全,E-mail:2315745771@qq.com E-mail:810238551@qq.com
  • 作者简介:胡利勋,男,42岁,教育学硕士,讲师。主要从事运动医学与康复研究 。E-mail:810238551@qq.com
  • 基金资助:
    陕西省教育厅2012自然科学基金科研项目(编号:12JK0707);咸阳市科技局科研基金项目(编号:XK0914)

Skelp and Taijiquan (shadowboxing) in treatment of elderly patients with non-alcoholic fatty liver diseases complicated by hypertension

Hu Lixun,Yang Jianquan   

  1. Department of Physical Training,Shaanxi University of Chinese Medicine,Xianyang 712046,Shaanxi Province
  • Received:2015-01-16 Online:2015-09-10 Published:2016-02-18

摘要: 目的 探讨快步走联合太极拳锻炼对高龄非酒精性脂肪性肝病合并高血压患者血压和血生化指标的影响。方法 选择我校附属医院2013年9月~2014年7月期间诊治的高龄非酒精性脂肪性肝病合并高血压患者58例,29例对照组服用常规药物治疗,29例运动组除服用常规药物外,增加快步走联合太极拳锻炼,每分钟走120至140步,平均每天快步走1~2次,每次健身时间在30~70分钟,每天有效步行6~8千步。在健身走完后适当休息5~10分钟,再开始打太极拳,每次打太极2~3遍。10月后考察疗效。结果 在治疗10月末,运动组患者收缩压和舒张压分别从治疗前的(168.2±5.3) mmHg和(95.8±7.2) mmHg降到了(139.6±6.5) mmHg和(86.0±5.5) mmHg(P<0.05),显著低于对照组[分别为(146.1±6.5) mmHg和(91.0±6.2) mmHg,P<0.05];观察期结束时,运动组患者血糖、总胆固醇、甘油三酯和高密度脂蛋白分别为(3.8±1.2) mmol/L、(4.2±0.9) mmol/L、(1.2±0.4) mmol/L和(1.2±0.2) mmol/L,均显著低于对照组[分别为(4.3±1.4) mmol/L、(4.4±0.5) mmol/L、(1.3±1.2) mmol/L和(1.6±0.1) mmol/L,P<0.05];运动组患者血生化指标均有不同程度的降低,与对照组比,差异有显著性或非常显著性意义(P<0.05或P<0.01)。结论 快步走联合太极拳锻炼对高龄非酒精性脂肪性肝病合并高血压患者血生化指标和血压有良好的改善作用,应在临床实践中加以推广应用。

关键词: 非酒精性脂肪性肝病, 高血压病, 快步走, 太极拳, 血生化指标, 血压

Abstract: Objective To study the skelp and Taijiquan (shadowboxing) in treatment of elderly patients with non-alcoholic fatty liver diseases complicated by hypertension. Methods Fifty-eight elderly patients with non-alcoholic fatty liver diseases complicated by blood hypertension from our hospital affiliated to Shaanxi University of Chinese Medicine were included from September 2013 to July 2014 in this study. 29 patients received the conventional medicine,and another 29 exercised with skelp and Taijiquan(shadowboxing) at the base of conventional therapy. All individuals were followed-up for 10 months. Results At the end of ten months,the systolic and diastolic blood pressure in patients with exercise decreased from(168.2±5.3) mmHg and (95.8±7.2) mmHg at presentation to(139.6±6.5) mmHg and(86.0±5.5) mmHg,respectively(P<0.05),much lower than in the control [(146.1±6.5) mmHg and(91.0±6.2) mmHg,P<0.05];the fasting plasma glucose,serum total cholesterol,triglyceride and high-density lipoprotein cholesterol were(3.8±1.2) mmol/L,(4.2±0.9) mmol/L,(1.2±0.4) mmol/L and(1.2±0.2)mmol/L,much lower than in the control[(4.3±1.4) mmol/L,(4.4±0.5) mmol/L,(1.3±1.2) mmol/L and(1.6±0.1) mmol/L,respectively,P<0.05];the improvement of blood biochemical parameters in patients with exercise was more obvious than in the control(P<0.05 or P<0.01). Conclusion Skelp and Taijiquan(shadowboxing) at the base of medical support are beneficial for elderly patients with nonalcoholic fatty liver diseases and hypertension,which might be popularized and applied in clinical practice.

Key words: Non-alcoholic fatty liver diseases, Hypertension, Skelp, Taijiquan(shadowboxing), Blood biochemical parameters, Blood pressure