行为指导对军队中青年男性高脂血症的影响及干预措施  

Effect of behavior guidance on hyperlipidemia in young and middle-aged men in the army and intervention measures

作　　者：陈丽华[1] 徐迪晖[1] 曾婧[1] Chen Lihua;Xu Dihui;Zeng Jing(Department of Physical Therapy,Guangzhou Sanatorium of the People's Liberation Army of China,Guangzhou,Guangdong,510515,China)

机构地区：[1]中国人民解放军广州疗养院体疗科

出　　处：《当代医学》2019年第33期5-8,共4页Contemporary Medicine

摘　　要：目的研究开展行为指导对军队中青年男性高脂血症的影响。方法使用自编的调查问卷对2015年3月至2016年3月入住本院的860例军队中青年男性高脂血症者进行相关危险因素的调查研究,并针对存在问题进行1年的宣传教育,膳食指导,结合体重指数(BMI)、腰身指数(WHtR)进行运动指导。使用同样的问卷对干预前、后变化情况比较分析。结果与干预前比较,干预后该人群对疾病相关知识知晓率显著增高,差异具有统计学意义(P<0.01);不良生活行为显著减少,差异具有统计学意义(P<0.01);空腹血清总胆固醇(TC)[(6.25±1.10)mmol/L vs.(5.00±0.96)mmol/L]、甘油三脂(TG)[(3.58±1.22)mmol/L vs.(2.10±0.62)mmol/L]显著降低,差异具有统计学意义(P<0.01);高密度脂蛋白胆固醇(HDL-C)[(0.81±0.16)mmol/L vs.(1.45±0.25)mmol/L]显著升高,差异具有统计学意义(P<0.01);低密度脂蛋白胆固醇(LDL-C)[(4.28±1.26)mmol/L vs.(3.36±1.02)mmol/L]、体重指数(BMI)[(27.6±3.87)kg/m2vs.(22.4±3.25)kg/m2]和腰身指数(WHtR)[(0.60±0.52)vs.(0.44±0.48)]显著下降,差异具有统计学意义(P<0.05);吸烟人数有所减少,但差异无统计学意义。结论开展行为指导能有效减少军队中青年男性高脂血症疗养员的不良生活行为,降低体重指数(BMI)、腰身指数(WHtR),改善血清血脂水平,从而减少高脂血症引发的各种心脑血管疾病,提高军队中青年男性高脂血症人群的人口素质。Objective To study the effect of behavior guidance on hyperlipidemia in young and middle-aged men in military. Methods Investigation on 860 cases of military survey methods using self on March 2015 to March 2016 in our hospital in young male patients with hyperlipidemia are risk factors, and to carry out publicity and education, 1 years to solve the problems with dietary guidance, body mass index(BMI), waist height ratio(WHtR) exercise guidance. The same questionnaire was used to compare and analyze the changes before and after the intervention. Results Compared with that before the intervention, after the intervention of the population of the awareness rate of the disease increased significantly, the difference was statistically significant(P<0.01);the bad behavior was significantly reduced, the difference was statistically significant(P<0.01);serum total cholesterol(TC) [(6.25±1.10)mmol/L vs.(5.00±0.96)mmol/L], triglyceride(TG)[(3.58±1.22)mmol/L vs.(2.1±0.62)mmol/L] decreased significantly, the difference was statistically significant(P<0.01);high density lipoprotein cholesterol(HDL-C) [(0.81±0.16)mmol/L vs.(1.45±0.25)mmol/L] increased significantly, the difference was statistically significant(P < 0.01);low density lipoprotein cholesterol(LDL-C) [(4.28±1.26)mmol/L vs.(3.36±1.02)mmol/L], body mass index(BMI) [(27.6±3.87)kg/m2 vs.(22.4±3.25)kg/m2] and waist height ratio(WHtR) [(0.60±0.52) vs.(0.44±0.48)]significantly decreased, the difference was statistically significant(P<0.05);the number of smokers decreased, but there was no statistical significance. Conclusion The behavior guidance can effectively reduce the bad life behavior, the army of young men with hyperlipidemia convalescents reduced body mass index(BMI), waist height ratio(WHtR), to improve the level of serum lipid, so as to reduce all kinds of cardiovascular and cerebrovascular diseases induced by hyperlipidemia, high in the team of young men in hyperlipidemia population the quality of the population.

关 键 词：行为指导 军队中青年男性 高脂血症 腰身指数 

分 类 号：R58[医药卫生—内分泌]