低山带疗养护理对老年高血压患者心身健康的影响

目的探讨低山带疗养护理对老年高血压患者心身健康的影响。方法 2012年7-9月,广州军区武汉疗养院对在鸡公山疗养地疗养的68名老年高血压患者疗养前后的血压、心率、血氧饱和度、体质指数及心理健康状况等进行了研究并比较。结果疗养后,老年高血压患者的收缩压及血氧饱和度均优于疗养前(均P0.01),舒张压、心率、BMI等与疗养前比较,差异均无统计学意义(均P0.05);躯体化、抑郁、焦虑、恐怖、睡眠饮食障碍等5项因子均分与疗养前的差异均有统计学意义(均P0.05),其余因子的评分与疗养前的差异均无统计学意义(均P0.05)。结论低山带气候疗养护理对老年高血压患者的血压及心身健康状况有积极的影响。     

疗养因子对80例老年性高血压病人的疗效观察

80例老年性高血压患者经自然因子和人工疗养因子的综合性治疗后取得较好的效果。80例中，显效25例，占31．2％；好转41例，占51．3％；无效14例，占17．5％。结果说明经上述各种因子综合作用于人体，有镇静、催眠、降低血压的作用。     

自然疗养因子对军队高血压疗养患者的影响

目的观察昆明安宁疗养地多种自然疗养因子对军队高血压疗养患者的治疗作用。方法对成都军区昆明疗养院疗养的278例军队高血压疗养患者,根据其不同的高血压分期自愿分成单纯疗养组和自然疗养因子组,检测疗养前后血压,并对疗养前后、不同疗养组及不同高血压分期进行对比。结果经过疗养,两组高血压患者血压均有下降,且差异具有统计学意义（P〈0．05）;自然疗养因子疗养组血压下降程度较单纯疗养组大;Ⅰ期和Ⅱ期高血压患者血压下降程度较Ⅲ期高血压患者大。结论自然疗养因子的疗养方式较单纯疗养降压效果更显著,对Ⅰ期和Ⅱ期高血压具有更好的预防和治疗作用。     

鸡公山自然疗养因子对中老年疾病康复的疗效观察

目的观察鸡公山疗养地自然疗养因子对老年疾病的康复疗效。方法对我院2006—2010年3099名老年疗养员的疾病情况和疗养效果进行统计学分析。结果 1个疗期的治疗,3099名疗养员中显效325人,显效率10.5%;有效1764人,总有效率(显效+有效)67.4%;无效1010人,无效率32.6%。结论鸡公山凉爽的气候,纯净的矿泉,丰富的野生动植物,重要的自然景观和人文景观,对中老年疾病有很好的康复作用。     

综合疗养因子对军队在职高血压患者的疗效分析

目的探讨杭州疗养因子对军队在职干部高血压患者的疗效。方法将242例军队在职疗养干部分为综合疗养组（实验组）和单纯疗养组（对照组）,进行20 d的疗养,比较各组疗养前后的血压、心功能及血清学指标的变化。结果实验组疗养后,血压值明显降低,收缩压和舒张压的降低与疗养前比较差异均有统计学意义（P〈0.05）,LVEF、E/A呈显著性增高（P〈0.05）。而对照组疗养后,仅收缩压下降差异有统计学意义（P〈0.05）,舒张压、LVEF、E/A较疗养前无明显改变。实验组疗养前后尿酸及肌酐均显著下降,差异均具有统计学意义（P〈0.05）,而两组胆固醇及三酰甘油疗养前后差异无统计学意义（P〉0.05）。结论综合利用杭州疗养因子对军队在职干部高血压患者有明显的降压效果,能有效地改善临床症状。     

苏州综合疗养因子对高血压患者血压的影响

目的 探索苏州综合疗养因子对疗养患者高血压的影响.方法 采用回顾性研究,对来我院疗养的182例高血压患者,入院前、住院中期和出院时平均血压的血压状况进行了统计和分析.结果 182例高血压患者由入院时平均血压17.5/12.4 kPa,疗养中期平均血压16.9/11.9 kPa降至出院时平均血压16.1/11.2 kPa,出院时平均血压明显低于入院时平均血压,P＜0.01.结论 苏州综合疗养因子对高血压的改善有着明显的辅助治疗作用,有利于患有高血压疗养员的身体康复.     

峨眉山疗养地对老年轻度高血压病的疗效观察

对入院前２周末用过降压药物、无并发症的老年轻度高血压病８６例，在峨眉山疗养地，经自然因子和人工疗养因子的综合作用一个月。结果血压呈逐渐稳步降低，与入院时比较差异有非常显著性。说明科学地利用疗养地的自然条件，配合规律性疗养程序，对高血压病有良好的治疗效果。     

连云港海滨综合疗养因子对高血压病患者血压的影响

目的观察连云港海滨综合疗养因子对高血压病的治疗效果。方法 75例患有高血压病的疗养员为观察对象,以入院次日早晨测量的血压作为入院时血压,疗养期间接受连云港海滨自然疗养因子(环境、景观、日光、空气及健康教育等)治疗,疗程15d,第15天早晨测量的血压为出院血压,使用统计学处理进行疗养前后对比。结果 75例患者收缩压与舒张压均有不同程度的降低,改善收缩压效果更显著(P<0.01),总有效率达89.33%。结论连云港海滨综合自然疗养因子对高血压患者具有明显的降压作用。     

山地气候疗养法简述

目的分析山地气候疗养的研究进展。方法搜集、检索全国各疗养院、院校及科研单位对山地气候的研究资料。结果高山地区空气清新,紫外线照射增加,气压下降,空气湿度下降,空气中富含氢离子和负离子,夏季凉爽,对健康人或某些疾病患者具有一定的保健作用。结论山地气候疗养法可提高机体的适应和代偿能力,可调整某些病理变化过程。     

Oxidative stress in human in sustained and white coat hypertension

Oxidative stress is thought to play a critical role in the pathogenesis of hypertension. Protein oxidation is defined here as the covalent modification of a protein induced either directly by reactive oxygen species or indirectly by reaction with secondary by-products of oxidative stress. The aim of our study was to evaluate the protein oxidation and to examine the function of the antioxidative system in sustained and white coat hypertensives (WCH) and compare with normotensives. This study was designed to investigate the protein oxidation parameters [protein carbonyls (PCOs)] in sustained hypertensives (17 males and 20 females) and WCH (18 males and 19 females). PCO and the endogenous antioxidant components protein thiol (P-SH), CuZn-superoxide dismutase (CuZn-SOD) and glutathione (GSH) were analysed using spectrophotometric and kinetic methods. Sustained hypertensive and WCH groups exhibited higher protein oxidation and lower P-SH, CuZn-SOD and GSH activities than normotensives. With regard to these parameters, there was no significant difference between sustained hypertensive and WCH groups. Blood pressure correlates positively with PCO groups and negatively with others. There exists an imbalance between oxidants and antioxidants in WCH because of the increase of oxidants associated with the decrease of antioxidant capacity. This may cause endothelial dysfunction just like in sustained hypertension. It may be necessary to add antioxidants to conventional antihypertensive therapy to balance the oxidative status in WCH.     

The plasma levels of plasminogen activator inhibitor-1 in subjects with white coat hypertension

High plasminogen activator inhibitor-1 (PAI-1) levels are potential risk factors for cardiovascular disease. The risk profile of white coat hypertension (WCHT) has not yet been completely clear. In this study, we aimed to determine the plasma levels of PAI-1, markers of fibrinolysis and increased cardiovascular disease risk, in a group with WCHT and to obtain clinical results by comparing WCHT group with hypertensive and healthy groups. Age and sex matched 30 patients with WCHT, 30 patients with sustained hypertension, and 30 healthy subjects were included in the study. The plasma levels of PAI-1 were significantly higher in sustained hypertension group than in WCHT group (p < 0.01). There were significantly higher levels in patients with WCHT than in control group (p < 0.01). Our data suggests one possible mechanism by which WCHT subjects may be at increased cardiovascular risk.     

脑梗死患者恢复期的康复护理

<正>脑梗死多发于中老年人,该病起病急骤,致残率高,许多病人虽经抢救存活下来但常留有肢体瘫痪、语言障碍、大小便不能自控、生活不能自理等后遗症。往往给患者造成悲观情绪,对自身疾病产生种种忧虑,丧失生活和     

The effects of distraction on exercise and cold pressor tolerance for chronic low back pain sufferers

Distraction has been found to be effective for the attenuation of experimental and acute clinical pain but its efficacy for chronic pain management remains unclear. There are even some suggestions that distraction may be a counterproductive strategy for chronic pain sufferers. In this study we found that a word shadowing distraction task increased the ability of a group of 12 female and eight male chronic low back pain (CLBP) sufferers to carry out a brief (maximum 300 s) step-up exercise that temporarily increased their pain (P<0.05). This 15% increase in exercise time was not accompanied by an increase in reported pain after the exercise. Interestingly, the same distraction task did not increase the cold pressor (CP) tolerance time for the CLBP group but produced a 26% increase in tolerance time for a pain-free control group consisting of nine females and nine males (P<0.05). Also, performance on the distraction task during the CP was worse for the CLBP group than the controls (P<0.05). Although these findings should be interpreted cautiously because of the parameters of the experiment, they do suggest that distraction is a potentially useful technique to assist chronic pain sufferers.     

创伤性截瘫患者康复期健康教育需求调查分析及对策

目的了解创伤性截瘫患者对健康教育的需求程度,探讨相应对策。方法采用自行设计的问卷对2007-01—2009-12在我康复中心接受过治疗的16名创伤性截瘫患者进行问卷调查。结果创伤性截瘫患者对健康教育的需求与其年龄、性别、文化背景等因素存在显著相关。对教育内容的偏向也因为其社会角色的不同存在差异。结论护理人员应针对不同情况,选择适当的方式和内容对患者进行健康教育,从而帮助患者更好的康复。     

运动应激试验前后血清皮质醇和IL-6水平与白大衣性高血压的关系

目的探讨运动应激试验前后血清皮质醇和IL-6水平的变化及其与白大衣性高血压的关系。方法选取2014年1月至2016年8月该院收治的白大衣性高血压患者48例作为研究组,选取同期普通高血压患者30例作为普通组和30例健康体检者作为对照组。3组均在空腹状态,在功率200 W的自行车上以蹬车2min后间歇5min再重复运动直至极度疲劳,完成运动应激试验。检测比较3组运动前、运动后即刻及运动后3h的血清皮质醇和IL-6水平及平均动脉压(MAP),分析血清皮质醇和IL-6水平对白大衣性高血压的诊断价值及其与患者MAP的关系。结果与对照组比较,研究组和普通组运动前后的血清皮质醇和IL-6水平及MAP均升高;与普通组比较,研究组运动前后的血清皮质醇和IL-6水平及MAP均升高(P0.05)。研究组运动后即刻及运动后3h的血清皮质醇和IL-6水平及MAP均较运动前升高(P0.05)。ROC曲线分析结果显示,运动应激试验前后血清皮质醇和IL-6水平对白大衣性高血压的诊断价值良好,其中以运动后即刻血清皮质醇和IL-6水平联合诊断白大衣性高血压的价值最优。Pearson线性相关分析结果显示,运动应激试验前后血清皮质醇和IL-6水平与白大衣性高血压MAP均呈正相关(r分别为0.844、0.802,P0.05)。结论运动应激试验前后血清皮质醇和IL-6水平对白大衣性高血压的诊断价值良好且与其血压水平相关,可能作为白大衣性高血压诊断和病情评估的参考指标。