Effect of intensive physical intervention methods on hypertension patients complicated with OSA
HAO Fang1, ZHANG Lihong2, CHEN Shaobo1
1. Department of Cardioligy,Characteristic Medical Center of Chinese People’s Armed Police Force, Tianjin 300162, China;
2. Departement of Cardiac Ineensive Care Unit, Characteristic Medical Center of Chinese People’s Armed Police Force, Tianjin 300162, China
Objective To evaluate the therapy effect of intensive physical intervention methods on hypertension patients complicated with OSA.Methods Fifty patients with grade I and II hypertension complicated with OSA were randomly divided into routine group and intervention group. Both groups were given standard drug treatment and routine nursing. The intervention group were strengthened with physical intervention for OSA, including health education, guidance and adjustment of scientific sleep posture, and massage hypnosis of acupoint Sanyinjiao. After one week of intervention, 24 hour ambulatory blood pressure and polysomnography were repeatedly checked to evaluate the clinical efficacy.Results The clinical effect of the intervention group was better than that of the routine group, and the decrease of blood pressure and the improvement of OSA indexes were significantly better than those of the routine group [24 h SBP(131.6±12.7)mmHg vs.(138.5±13.4)mmHg;24 h DBP(82.6±9.1)mmHg vs.(90.3±8.9)mmHg;AHI(10.5±5.9)time/h vs.(17.5±6.7)time/h;SPO2(92.5%±7.8%)vs.(87.6%±8.4%)]. Conclusion For patients with hypertension complicated with OSA, intensive physical intervention can effectively reduce blood pressure and improve OSA indicators, which is worthy of clinical promotion.
Punjabi N M, Caffo B S, Goodwin J L, et al.Sleep-disordered reathing and mortality:a prospective cohort study[J]. PLoS Med,2009,6(8):e1000132-e1000140.
[6]
Elizabeth S M. Prevalence of obstructive sleep apnea in refractory hypertension [J]. Hypertension, 2018,72(10):592-593.
[7]
Young T, Palta M, Dempsey J, et al. The occurrence of sleep-disordered breathing among middle-aged adults [J]. N Engl J Med,1993,328(17):1230-1235.
[8]
Peppard P E, Young T, Barnet J H,et al. Increased prevalence of sleep-disordered breathing in adults [J]. Am J Epidemiol,2013,177(9):1006-1014.
Javaheri S, Barbe F, Campos-Rodriguez F, et al.Sleep apnea: types, mechanisms, and clinical cardiovascular consequences [J]. J Am Coll Cardiol,2017,69(7):841-858.
[11]
Tufik S, Santos-Silva R, Taddei J A, et al. Obstructive sleep apnea syndrome in the Sao Paulo Epidemiologic Sleep Study [J]. Sleep Med,2010,11(5):441-446.
[12]
Epstein L J, Kristo D, Strollo P Jr, et al. Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine. Clinical guideline for the evaluation, management and long term care of obstructive sleep apnea in adults[J]. J Clin Sleep Med,2009,5(3):263-276.
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