| Background:With the increasing aging of the world,hypertension has become one of the common diseases in the middle-aged and elderly people.The etiology of essential hypertension is complicated,and drug treatment is limited,and its non-drug treatment methods "let a hundred flowers blossom",in which exercise intervention therapy provides a safe and effective new way for the adjuvant treatment of hypertension,and has gradually attracted wide attention from scholars at home and abroad.The new Dao Yin exercise recorded in traditional Chinese medicine has thousands of years of experience in "treating non-disease" and "treating and preventing disease",especially for hypertension and other related diseases.At present,most ofthe new Dao Yin-exercise used in the treatment of patients with essential hypertension are popular and targeted,but the methods in the current study have no acupuncture effect on patients with essential hypertension.In this study,a randomized controlled experimental method was used to form a new Dao Yin exercise based on the extraction of targeted actions for hypertension from traditional Chinese medicine,and long-term exercise intervention was carried out for patients with hypertension.To observe the changes of physiological function and emotion of patients with hypertension,and to explore the physical and mental effects of the new exercise on patients with hypertension,in order to reveal its internal mechanism.It provides scientific experimental proof and authoritative theoretical basis for the new Dao Yin exercise,and has positive social value and application value for the popularization of the new form of health management and the popularization of guiding method.Objects and Methods:Forty middle-aged and elderly people aged from 45 to 75 who met the inclusion criteria and exclusion criteria were recruited from Siping Community Health Service Center.40 middle-aged and elderly people who met the inclusion criteria were randomly divided into two groups: exercise intervention group(n = 20)and blank control group(n = 20).The exercise intervention group was trained three times a week,that is,two collective training activities,one independent exercise at home,each exercise for 60 minutes,and the total experimental period was 3 months(12 weeks).The blank control group was given health education intervention(lectures on health knowledge related to hypertension)to maintain the original living habits.Blood pressure,heart rate,BMI,blood glucose,Angiotensin type-Ⅱ,du’s quality of life scale and SDS/SAS were tested before and after the experiment.All the data are combed,counted and analyzed by spss.22.The counting and measurement data are expressed by "mean ±standard deviation((?) ±S)".The counting data are tested by X~2 test,the measurement data are analyzed,and the data are in accordance with normal distribution.Paired sample T test is used for intra-group comparison,independent sample T test is used for inter-group comparison,and two-sided test is used for statistical test.Wilcoxon signed rank test was used for data that did not conform to normal distribution.Results:1.Based on the new Dao Yin-exercise related to the treatment of hypertension recorded in traditional Chinese medicine,a set of new guiding methods with strong pertinence,easy to learn and can help patients with hypertension to reduce blood pressure were created.2.Changes in subjects’ blood pressure,pulse pressure,heart rate and BMI indexAfter 3 months of exercise intervention,the levels of SBP and DBP in the intervention group decreased,and the decrease in SBP had a very significant difference(P<0.01),and the decrease in DBP had a significant difference(T=2.331,P=0.035);The pulse pressure in the control group increased after the experiment and the difference was very significant(P<0.01).In comparison between groups,the changes of SBP and BP after the experiment had very significant differences(P<0.01).There was no significant difference in BMI index between the intervention group and the control group and between the groups(P>0.05).3.Changes in subjects’ blood glucose,blood lipids and angiotensin-ⅡlevelsAfter 3 months of exercise intervention,the blood glucose level of the intervention group decreased and the difference was significant(T=2.352,P=0.034);the blood glucose level of the control group was not significantly different(P>0.05).In comparison between the groups,the difference in blood glucose test results between the two groups after the experiment was very significant(P<0.01).After 3 months of exercise intervention,the levels of TG,TC,and LDL-C in the intervention group decreased,and there was a significant difference in the decrease of TC(P<0.01),and the decrease in TG and LDL-C had a significant difference(T=2.208,P=0.044;T=2.226,P=0.043),the level of HDL-C increased,but the difference was not significant(P>0.05);the level of TC in the control group increased,and the difference was significant(T=-2.375,P=0.032),there was no significant change in the levels of TG,HDL-C,and LDL-C.In comparison between groups,the differences in the content of TC and LDL-C after the experiment were very significant(P<0.01).After 3 months of exercise intervention,the level of AT-Ⅱ in the intervention group decreased,and the difference was very significant(P<0.01),while the difference in the level of AT-Ⅱin the control group was not significant(P>0.05).In comparison between groups,the difference in AT-Ⅱlevels between the two groups after the experiment was not significant(P>0.05).4.Changes in depression and anxiety levelsAfter 3 months of exercise intervention,the SDS and SAS scores of the intervention group decreased,and the difference was significant(T=2.871,P=0.012;T=2.446,P=0.028).The SDS score of the control group increased.But the difference was not significant(P>0.05).In comparison between the groups,the SDS and SAS scores of the two groups were significantly different after the experiment(P<0.01).5.Changes in the level of quality of lifeAfter 3 months of exercise intervention,the total scores of the Duchenne Hypertension Quality of Life Scale in the intervention group were significantly different(T=2.834,P=0.013),and the significant changes were mainly concentrated in "sleep status","anger and vitality" "Interpersonal Relationship Sensitivity" dimension;the total score of the scale of the control group did not have a significant difference(P>0.05).After the two groups of experiments,the total score of Duchenne’s Hypertension Quality of Life Scale was significantly different(T=-2.072,P=0.048).Conclusion:1.The exercise intensity of the new Dao Yin-exercise is moderate,which can have a positive effect on middle-aged and elderly patients with hypertension,and can be used as an adjuvant therapy for the treatment of hypertension.2.After 3 months of the new Dao Yin-exercise,the improvement of blood pressure,blood glucose,angiotensin type-Ⅱ in middle-aged and elderly patients with hypertension played a positive role and improved the physical function of the patients.3.After 3 months of the new Dao Yin-exercise,the improvement of psychological dysfunction and quality of life in middle-aged and elderly patients with hypertension played a positive role,and the psychological function of the patients was improved. |
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