个体化生活习惯干预对“三高症”患者诊疗效果的影响  

Effect of individualized lifestyle habits on the diagnosis and treatment of patients with“Three High Diseases”

作　　者：温佩儿 李庆英[1] WEN Pei-er;LI Qing-ying(Comprehensive Department,Sun Yat-sen Memorial Hospital of Sun Yat-sen University,Guangzhou 510120,Guangdong,CHINA)

机构地区：[1]中山大学孙逸仙纪念医院综合科

出　　处：《海南医学》2019年第16期2143-2145,共3页Hainan Medical Journal

摘　　要：目的探讨个体化生活习惯干预对“三高症”患者诊疗效果的影响,为临床诊治提供参考依据。方法选择2017年4月到2018年12月在中山大学孙逸仙纪念医院综合科进行治疗的未住院“三高症”患者150例为研究对象,按照随机数表法将患者分为观察组和对照组,每组75例。在常规降血压、血糖、血脂药物治疗的基础上对照组实施常规干预措施,观察组实施个体化生活习惯干预措施,干预6个月。比较两组患者的干预效果、血脂[包括总胆固醇(TC)、甘油三酯(TG)和低密度脂蛋白(LDL)]、血糖[包括空腹血糖(FPG)与餐后2 h血糖(2 hPG)]相关指标以及体质量指数(BMI)。结果观察组患者的干预总有效率为93.33%,明显高于对照组的70.67%,差异有统计学意义(P<0.05);干预后,观察组患者的TC、TG以及LDL分别为(4.26±1.13)mmol/L、(1.59±0.91)mmol/L、(3.03±0.69)mmol/L,均明显低于对照组的(4.92±1.08)mmol/L、(1.89±0.95)mmol/L、(3.55±0.74)mmol/L,差异均有统计学意义(P<0.05);干预后,观察组患者的FPG、2 hPG、BMI水平分别为(6.08±0.92)mmol/L、(9.34±0.99)mmol/L、(22.86±1.06)kg/m2,均明显低于对照组的(8.04±0.55)mmol/L、(12.64±0.86)mmol/L、(24.86±1.09)kg/m2,差异均有统计学意义(P<0.05)。结论个体化生活习惯干预措施对“三高症”患者实施干预能有效降低血压、血糖、血脂,并能预防代谢异常,值得推广。Objective To explore the effect of individualized lifestyle habits on the diagnosis and treatment of patients with“Three High Diseases”(hyperglycemia,hypertension,hyperlipidemia)and provide reference for clinical practice.Methods A total of 150 patients with“Three High Diseases”who were not hospitalized but treated in the Comprehensive Department,Sun Yat-sen Memorial Hospital of Sun Yat-sen University from April 2017 to December 2018 were selected as subjects.According to the random number table,the patients were randomly divided into an observation group and a control group,with 75 patients in each group.On the basis of routine antihypertensive,hypoglycemic and hypolipidemic therapy,the control group was given routine intervention measures,and the observation group was intervened with individualized lifestyle habits for 6 months.After 6 months,the intervention effects,blood lipids(including total cholesterol[TC],triglyceride[TG]and low density lipoprotein[LDL]),blood glucose(including fasting blood glucose[FPG]and postprandial 2 h blood glucose[2 hPG]),and body mass index(BMI)were compared between the two groups.Results The total effective rate of the observation group was 93.33%,which was significantly higher than 70.67%of the control group(P<0.05).After the intervention,the TC,TG,and LDL of the observation group were(4.26±1.13)mmol/L,(1.59±0.91)mmol/L,(3.03±0.69)mmol/L,significantly lower than(4.92±1.08)mmol/L,(1.89±0.95)mmol/L,(3.55±0.74)mmol/L in the control group(P<0.05).After intervention,the FPG,2 hPG,and BMI levels of the observation group were(6.08±0.92)mmol/L,(9.34±0.99)mmol/L,(22.86±1.06)kg/m2,which were significantly lower than(8.04±0.55)mmol/L,(12.64±0.86)mmol/L,(24.86±1.09)kg/m2 in the control group(P<0.05).Conclusion Individualized lifestyle habits interventions can effectively reduce blood pressure,blood sugar,and blood lipids,and prevent metabolic abnormalities in patients with“Three High Diseases”,which is worthy of promotion.

关 键 词：个体化 生活习惯 高血糖 高血压 高血脂 体质量 

分 类 号：R544.1[医药卫生—心血管疾病]