| 摘要: |
| ［摘要］ 目的 探讨高血压合并2型糖尿病（hypertensive patient complicated with type2 diabetes mellitus，EH+T2DM）且有心率变异（heart rate variability，HRV）异常的患者，接受常规降压、降糖药物治疗及个体化运动处方后HRV变化的情况。方法 运动处方一为每日运动一次，15 min/次；运动处方二为隔日运动一次，30 min/次。运动量为靶心率≈｛（60%～70%）×［（220～170）-实际年龄）］｝次/分。30例符合研究对象患者随机分为三组，均接受常规药物治疗, 其中A组接受运动处方一治疗，B组接受运动处方二治疗，C组不接受运动处方治疗。结果 三组患者治疗三个月后HRV均有改善。治疗前后对比A、B组HRV改变有统计学意义（P<0.05），而C组HRV改变无统计学意义（P>0.05）。A、B两组间HRV差异比较无统计学意义（P>0.05）。结论 常规降压、降糖药物对改善HRV作用不明显，个体化运动处方对改善HRV有较显著的作用。 |
| 关键词: 高血压合并2型糖尿病 心率变异 运动处方 靶心率 心脏自主神经病变 |
| DOI：10.3969/j.issn.1674-3806.2009.10.03 |
| 分类号:R 544.1 |
| 基金项目:广西卫生厅自筹经费科研课题（No.Z2009021） |
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| The changes of heart rate variability after accepting different exercise prescription in hypertension patient complicated with diabetes mellitus |
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MO Yi, LIU Yu-tian
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Sport Medical Department, Guangxi Sport Hospital, Nanning 530013, China
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| Abstract: |
| ［Abstract］ Objective To investigate the changes of heart rate variability (HRV) in hypertensive patient complicated with type2 diabetes mellitus (EH + T2DM) after accepting treatment of conventional drug and exercise prescription.Methods One of exercise prescription was 15 minutes movement daily; the other exercise prescription was 30 minutes once every two days.Exercise target heart rate approximately equal to ｛（60%～70%）×［（220～170）-actual age）］｝ times/min. The 30 patients with abnormal HRV were divided into three groups，all were accepted conventional drug treatment. In addition, Group A accepted exercise prescription 1, Group B accepted exercise prescription 2, and group C did not accept the exercise prescription.Results All abnormal HRV in these patients were all improved.Compared the results before treatment with those after treatment, the changes in HRV in group A and B were significant（P<0.05）, while that in the group C were not significant（P>0.05）. The changes in HRV between group A and B were no significant（P>0.05）.Conclusion Conventional medical treatment can not obviously improve abnormal HRV in (EH + T2DM) patients; Moreover, the improvement will be more obvious while conventional drug therapy combined with exercise prescription were applied. |
| Key words: Hypertensive complicated with type 2 diabetes mellitus (EH+T2DM） Heart rate variability(HRV) Exercise prescription Target heart rate Cardiac autonomic neuropathy |
