腹型肥胖并高血压患者体重管理效果研究  

Study on the effect of weight management in patients with abdominal obesity and hypertension

作　　者：杨朔 刘芙蓉[2] YANG Shuo;LIU Fu-rong(Ganjiakou Community Health Service Center,Beijing,100036,China;不详)

机构地区：[1]北京市海淀区甘家口社区卫生服务中心,北京100036 [2]山东中医药大学第二附属医院,山东济南250001

出　　处：《预防医学论坛》2020年第1期9-11,共3页Preventive Medicine Tribune

基　　金：北京市海淀区预防医学会资助项目(项目编号2017HDPMA13)。

摘　　要：目的研究对成人腹型肥胖并高血压病患者进行体重管理的效果。方法选取2018年3~9月在北京市海淀区甘家口社区卫生服务中心就诊的296例腹型肥胖并高血压病患者作为观察对象,在基础治疗同时进行体重管理,制定个体化医学科学减重方案和随访管理,从饮食、运动、心理、健康教育等方面进行,持续12个月后进行效果评估。结果 296例受试者中,有121例体重腰围改善。其中48例受试者减重期间未服用降糖降脂药物。48例受试者干预前血压达标率为41.7%,经减重干预血压达标率为100.00%。干预后受试者体重从(74.47±12.55)kg下降到(64.96±11.5)kg、腰围从(92.25±8.36)cm下降到(85.58±6.69)cm、体质指数从(27.47±2.04)下降到(23.94±1.85),这三项指标与干预前比较,差异均有统计学意义(P<0.01)。干预后受试者TG从(1.72±0.81)mmol/L下降到(1.14±0.48)mmol/L、GLU(5.93±0.88) mmol/L下降到(5.51±0.66) mmol/L,与干预前比较,差异有统计学意义(P<0.05);TC、LDL-C、HDL-C与干预前比较,差异无统计学意义(P>0.05)。结论对社区成人腹型肥胖并高血压病患者进行体重管理,能够有效控制患者体重,改善血压达标率以及甘油三酯和血糖水平,值得进一步推广。Objective To study the effect of weight management on adult patients with abdominal obesity and hypertension.Methods A total of 296 patients with abdominal obesity and hypertension treated at the Ganjiakou community health service center in Haidian district,Beijing from March to September 2018 were selected as observation objects.Weight management was performed at the same time as basic treatment,and individualized medical scientific weight loss was formulated.The plan and follow-up management were carried out from the aspects of diet,exercise,psychology,health education,etc.and the effect evaluation was performed after 12 months.Results Among the 296 subjects,121 had improved body weight and waist circumference.48 subjects did not take glucose-and lipid-lowering drugs during weight loss.48 subjects had a blood pressure compliance rate of 41.7%before intervention and 100.00%of the blood pressure compliance rate after weight loss intervention.After the intervention,the subject’s weight decreased from(74.47±12.55)kg to(64.96±11.5)kg,the waist circumference decreased from(92.25±8.36)cm to(85.58±6.69)cm,and the body mass index decreased from(27.47±2.04)to(23.94±1.85).Compared with the three indicators before intervention,the differences were statistically significant(P<0.05).After intervention,TG decreased from(1.72±0.81)mmol/L to(1.14±0.48)mmol/L,GLU(5.93±0.88)mmol/L decreased to(5.51±0.66)mmol/L,compared with that before intervention the difference was statistically significant(P<0.05);there was no significant difference in TC,LDL-C,HDL-C compared with before intervention(P>0.05).Conclusion The weight management of adult abdominal obese patients with hypertension in the community can effectively control the weight of patients,improve the blood pressure compliance rate,and the triglyceride and blood glucose levels,which is worth further promotion.

关 键 词：腹型肥胖 高血压 体重管理 

分 类 号：R589[医药卫生—内分泌]