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EPOC 对高血压患者血清 microRNA 表达的影响。

Effect of EPOC on Serum MicroRNA Expression in Patients with Hypertension.

机构信息

Physical Education Department of North Sichuan Medical College, 55 Dongshun Road, Gaoping, Nanchong, Sichuan 637100, China.

出版信息

J Healthc Eng. 2022 Feb 23;2022:1998445. doi: 10.1155/2022/1998445. eCollection 2022.

Abstract

In order to analyze the effect of EPOC on serum microRNA expression in patients with hypertension, we have carried out an experimental evaluation and presented a dedicated method to improve its effectiveness. For this purpose, 60 patients with hypertension treated in our hospital from January to December 2020 were selected and randomly divided into the EPOC group (30 cases) and the control group (30 cases). Patients in both groups received conventional hypertension medication according to the treatment guidelines, and education and guidance were strengthened to ensure patients' drug compliance. The EPOC group received EPOC training in addition to conventional medication. After the intervention, 6MWD, LVEF, and LVEDD in the control group and the EPOC group were significantly improved compared with that before treatment ( < 0.05). The improvement of cardiac function in the EPOC group was significantly better than that in the control group ( < 0.05). Physiological function, physiological characteristics, body pain, and general health of the control group and the EPOC group were significantly improved compared with that before treatment ( < 0.05). The improvement of quality of life in the EPOC group was significantly better than that in the control group ( < 0.05). The indexes of heart rate, oxygen pulse, minute ventilation, oxygen uptake in kg, and anaerobic threshold in the EPOC group were significantly better than those in the control group before and after treatment ( < 0.05). Full-sample real-time PCR verification of the 8 miRNAs with the highest expression differentiation showed that, compared with the control group, the expression levels of miR-20a-5p, miR-93-5p, and miR-1287-5p in the serum of the EPOC group were significantly increased, while the expression levels of miR-7706, miR-28-5p, and miR-125b-5p were significantly decreased. The expression of miR-20a-5p was the highest, while the expression of miR-125b-5p was the lowest, suggesting that miR-20a-5p and miR-125b-5p might be involved in the process of HIIT to improve hypertension. After EPOC rehabilitation treatment, patients' heart function indexes, lung function indexes, and quality of life have been significantly improved. EPOC rehabilitation can improve exercise tolerance, enhance cardiopulmonary function, and improve the prognosis of patients.

摘要

为了分析 EPOC 对高血压患者血清 microRNA 表达的影响,我们进行了实验评估,并提出了一种专门的方法来提高其效果。为此,选择了 2020 年 1 月至 12 月在我院治疗的 60 例高血压患者,随机分为 EPOC 组(30 例)和对照组(30 例)。两组患者均根据治疗指南接受常规降压药物治疗,并加强教育指导,以确保患者的药物依从性。EPOC 组除常规用药外还接受 EPOC 训练。干预后,对照组和 EPOC 组的 6MWD、LVEF 和 LVEDD 均较治疗前明显改善( < 0.05)。EPOC 组的心脏功能改善明显优于对照组( < 0.05)。对照组和 EPOC 组的生理功能、生理特征、身体疼痛和一般健康状况均较治疗前明显改善( < 0.05)。EPOC 组的生活质量改善明显优于对照组( < 0.05)。EPOC 组治疗前后心率、氧脉搏、分钟通气量、公斤摄氧量和无氧阈等指标均明显优于对照组( < 0.05)。对 8 个表达差异最大的 miRNA 进行全样本实时 PCR 验证,结果显示,与对照组相比,EPOC 组血清中 miR-20a-5p、miR-93-5p 和 miR-1287-5p 的表达水平明显升高,而 miR-7706、miR-28-5p 和 miR-125b-5p 的表达水平明显降低。其中 miR-20a-5p 的表达水平最高,miR-125b-5p 的表达水平最低,提示 miR-20a-5p 和 miR-125b-5p 可能参与了 HIIT 改善高血压的过程。EPOC 康复治疗后,患者的心功能指标、肺功能指标和生活质量均有明显改善。EPOC 康复治疗可提高运动耐量,增强心肺功能,改善患者预后。

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