运动康复在高血压合并HFpEF中的研究进展

赵 万霞, 王 红*
青海大学附属医院心内科

摘要


高血压合并射血分数保留性心力衰竭（HFpEF）是高血压最常见的合并症，在此病理状态下，患者体内出现一系列适应性生理变化。其中，包括炎症反应、氧化应激水平显著升高等相互作用，最终导致血管内皮细胞损伤和功能衰退，相关机制导致心肌重构，引发心肌病理变化。运动康复作为一种结合多种运动方式的综合干预措施，以增强心脏功能、改善血液循环、提高心肌收缩力以及预防或恢复心脏疾病为目标，成为改善高血压合并HFpEF患者症状及生活质量的重要手段。临床实验数据显示，运动康复通过个性化运动方案的应用显示出重要临床意义。不仅能够有效降低血压水平，还能通过减少心脏应激反应和延缓心肌酶的释放，进一步降低HFpEF的发生率。本文旨在系统综述心脏运动康复在高血压合并HFpEF患者中的研究进展，并继续探索运动干预的长期效果及其对患者心血管结局的影响，以期为临床实践中更有效的康复策略提供科学依据。通过深入研究这些方面，有望找到更加精准、更具治疗效果的个性化运动干预方案，从而为改善疾病预后提供新思路和新方法。

关键词


心脏康复；运动康复；高血压合并HFpEF；心血管疾病；心肺运动实验

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参考


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