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选择性β1受体阻滞剂对高血压患者运动耐力的影响

李寿霖 封丽红 陈思远 杨祖福 张焱 刘杰 杨威 刘立君 郑志昌 林伟 王晓荣 王国栋

中国康复理论与实践2017,Vol.23Issue(4):446-448,3.
中国康复理论与实践2017,Vol.23Issue(4):446-448,3.DOI:10.3969/j.issn.1006-9771.2017.04.018

选择性β1受体阻滞剂对高血压患者运动耐力的影响

Effect of Selective beta-1 Adrenoreceptor Blocker on Exercise Tolerance in Patients with Hypertention

李寿霖 1封丽红 2陈思远 1杨祖福 2张焱 1刘杰 2杨威 1刘立君 3郑志昌 1林伟 2王晓荣 1王国栋2

作者信息

  • 1. 首都医科大学康复医学院,北京市100068
  • 2. 中国康复研究中心北京博爱医院, 心血管内科,北京市100068
  • 3. 中国康复研究中心北京博爱医院, 中医康复科,北京市100068
  • 折叠

摘要

Abstract

Objective To explore the effect of selective beta-1 adrenoreceptor blocker on exercise tolerance in patients with hyperten-sion. Methods From May, 2015 to May, 2016, 72 patients with hypertension were divided into two groups, according to whether taking the selective beta-1 receptor blocker. Group A (n=35) took the selective beta-1 receptor blocker two weeks before cardiopulmonary exercise, while group B (n=37) did not take anything at the same time. The exercise tolerance was compared between two groups. Results The maxi-mal systolic blood pressure, peak heart rate, one-minute heart rate after exercise (HR1) and rate-pressure product were lower in group A than in group B (t>2.012, P<0.05), however, the recovery value of HR1 was higher in group A than in group B (t=2.100, P<0.05). There was no difference in both peak power and peak oxygen uptake between two groups (t<0.689, P>0.05). Conclusion The selective beta-1 adrenore-ceptor blocker could reduce myocardial oxygen consumption, and improve vagus nerve activity, but did not reduce exercise tolerance in pa-tients with hypertension.

关键词

高血压病/β1受体阻滞剂/心肺运动试验

Key words

hypertension/selective beta-1 adrenoreceptor blocker/cardiopulmonary exercise testing

分类

医药卫生

引用本文复制引用

李寿霖,封丽红,陈思远,杨祖福,张焱,刘杰,杨威,刘立君,郑志昌,林伟,王晓荣,王国栋..选择性β1受体阻滞剂对高血压患者运动耐力的影响[J].中国康复理论与实践,2017,23(4):446-448,3.

基金项目

中央级公益性科研院所基本科研业务费专项资金项目(No.2015CZ-40). (No.2015CZ-40)

中国康复理论与实践

OA北大核心CSCDCSTPCD

1006-9771

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