| ObjectiveObserving the influence of Baduanjin to the biood pressure of CKD stage 3 to 5 with hypertension,we preliminary discuss Baduanin possible effect of auxiliary treatment of CKD with hypertension.MethodsA randomized controlled trial was conducted to include patients with chronic kidney disease with 3-5 stages of hypertension who were treated in the Department of Chronic Diseases of the Chinese Medicine Hospital from June 2018 to December 2018.The control group maintained the original Chinese and Western medicine treatment plan.and adjusted the basic treatment plan according to the actual situation at the time of follow-up.On the basis of the treatment plan of the control group,the exercise group gave the intervention of Baduanjin exercise for twelve weeks,the movement frequency for at least 5 days a week.Observing the blood pressure index,Nutritional indicators(objective nutritional indicators,body composition),Clinical indicators(Urinary protein creatinine ratio,serum creatinine,eGFR)change before and after exercise(0 weeks,12weeks).Results1.Among the 17 patients in the exercise group who completed the study,the compliance rate was 82%,the highest was 117%,and the average compliance rate was 97%.2.The blood pressure indexes of the two groups were decreased before and after intervention.However,compared with the two groups,the systolic blood pressure and mean arterial pressure of the exercise group decreased more(p<0.05).After the intervention of the exercise group,the blood pressure compliance rate increased(p<0.05),and the blood pressure compliance rate of the control group did not increase significantly.It shows that Baduanjin has a certain antihypertensive effect,which is influenced by systolic blood pressure and mean arterial pressure,and is conducive to maintaining blood pressure and stability.3.The total cholesterol increased before and after intervention in the two groups,but the increase in the control group was more significant than that in the exercise group(p<0.05).The low-density lipoprotein,body mass index,fat body mass index,and extracellular fluid decreased before and after the intervention,and the control group was elevated.The difference between the two groups was statistically significant(p<0.05).The lean body mass index,intracellular fluid,there was no significant difference between the two groups before and after intervention(p>0.05).4.The urinary protein creatinine ratio increased before and after intervention in the two groups,but the control group was more significant than the exercise group(p<0.05).There was no significant difference between the two groups before and after the intervention of serum creatinine and eGFR(p>0.05).Conclusion1.Baduanjin exercise can reduce the blood pressure of CKD3-5 patients with hypertension,with the effect of systolic blood pressure and mean arterial pressure,improve blood pressure stability;patients’ exercise compliance rate is better.2.Baduanjin exercise may improve blood pressure by improving the patient’ s loody mass index and blood lipid levels.3.In terms of liquid capacity,in the absence of significant changes in intracellular fluid,the extracellular fluid in the exercise group is decreasing,that is,the amount of fluid in the body and in the outside is decreasing,indicating that Baduanjin exercise promotes water and liquid metabolism,which may be caused by blood pressure drop in patients.one of the reasons.4.For CKD3-5 patients with hypertension,the Baduanjin exercise can be promoted on the basis of conventional drug therapy as a supplementary means for assisting blood pressure and treatment. |
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