高血压患者120例干预效果观察  

An intervention study on 120 patients with hypertension in

作　　者：王兰香[1] 石晓蓉[1] 李锡明[2] 徐礼勇 贺亚玲[1] 胡峰[1] 

机构地区：[1]南京农业大学医院内科,210095 [2]南京市鼓楼医院心脏科

出　　处：《中国综合临床》2015年第1期22-26,共5页Clinical Medicine of China

摘　　要：目的契约管理血压及相关危险因素，提高控制率。方法对120例患者可改变的危险因素：糖、脂、血尿酸的代谢异常，膳食不平衡、超重肥胖、吸烟、过量饮酒、精神紧张和缺乏体力活动进行干预，并对服药进行随访、监督1年后进行对比分析。结果干预前后收缩压、舒张压、腰围、体质量指数（BMI）、空腹血糖、总胆固醇、低密度脂蛋白胆固醇（LDL—C）、甘油三酯（TG）、高密度脂蛋白胆固醇（HDL-C）、血尿酸及嗜盐、荤多喜油、运动习惯、服药的顺应性和对高血压的认知能力比较差异均有统计学意义（t值分别为10．44、8．93、3．98、2．76、7．82、5．39、3．11、3．88、2．24、2．73、5．31、5．11、6．44、3．60、6．58；P均〈0．01），而对患者的吸烟、生活不规律和精神紧张比较则差异均无统计学意义（P均〉0．05）。结论以改变生活方式为主血压及其相关危险因素的管理，在高校社区效果显著。Objective To investigate the effect of intervention management of hypertension and related risk factors. Methods One hundred and twenty hypertension patients are intervened in terms of blood uric acid, unbalanced diet, overweight, obesity, smoking, excessive drinking, stress and lack of physical activity. And after the medication, comparative analysis is carried out after 1 years follow-up supervision. Results There were significant differences in terms of systolic blood pressure, diastolic blood pressure, waist circumference, body mass index（BMI）, fasting blood glucose, total cholesterol, low density lipoprotein （LDL）, triglyceride （TG）, high density lipoprotein （HDL）, blood uric acid and halophilic, stroke like adaptation and cognitive ability in hypertension before and after intervention （ t = 10.44,8.93,3.98,2. 76,7.82,5. 39,3.11,3.88,2. 24,2. 73, 5.31,5.11,6. 44,3.60,6. 58 respectively ;P 〈 0. 01 ）. There weren＇t significant differences regarding of smoking habit, unregnlarly life style and stress （P 〉 0. 05 ）. Conclusion The intervention on blood pressure and related risk factors based on changing lifestyles is proved to be with high efficiency in University Communities.

关 键 词：高血压 生活方式干预 危险因素 降低心血管事件 

分 类 号：R544.1[医药卫生—心血管疾病]