Objective To give health management to high-normal blood pressure people, and review the influences of the management on life style, hypertension, hyperlipidemia, hyperglycemia ( "three—high" for short) and emotion. Methods High-normal blood pressure people ( n =120 ) were randomly divided into control group ( n =60 ) and intervention group ( n=60 ) . The intervention group was managed in cognition and behaviour, and given psychological intervention and social support for 3 months. The life style, body weight, blood pressure, plasma glucose, blood fat and emotion were compared between two groups. Results Through systemic health management, the quantity of smoking and drinking decreased, the people with high—salt diet decreased and amount of exercises increased in intervention group compared with control group ( all P<0.01 ) . The body weight f ( 76.3 ±7.44) kg vs. ( 77.5 ± 7.1 ) kg, P<0.05], systolic blood pressure [( 120.3 ±4.7 ) mmHg vs. (129.2 ±3.5) mmHg, P<0.05], diastolic blood pressure [ ( 80.8 ± 3.0 ) mmHg vs. ( 86 ± 2.8 ) , P<0.05], fasting plasma glucose [ ( 5.65 ± 0.6 ) mmol/L vs. ( 5.9 ± 0.8 ) mmol/L, P<0.05], and triglyceride [ ( 1.62 ± 0.9 ) mmol/L vs. ( 1.8 ± 0.6 ) mmol/L, P<0.05] decreased significantly, and scores of anxiety and depression decreased significantly ( P <0.05 ) in intervention group. Conclusion The systemic health management can correct the bad life style, and relive the symptoms of "three—high " and emotions of anxiety and depression.%目的 对正常高值血压人群进行系统健康管理并评价其对生活方式和高血压、高血脂和高血糖及情绪的影响.方法 纳入正常高值血压人群120例,随机分为对照组(n=60)和干预组(n=60),对干预组进行3个月的认知、行为、心理干预和社会支持.然后对两组人群的生活方式、体重、血压、血糖、血脂及情绪方面进行比较.结果 通过系统的健康管理,干预组较对照组的吸烟量和饮酒量均降低、高盐饮食人数减少,运动量增加(P均＜0.01),体重[(76.3±7.4)kg vs.(77.5±7.1)kg,P＜0.05)、收缩压[(120.3±4.7)mmHg vs.(129.2±3.5)mmHg,P＜0.05]、舒张压[(80.8±3.0)mmHg vs.(86.0±2.8),P＜0.05]、空腹血糖[(5.7±0.6)mmol/L vs.(5.9±0.8)mmol/L,P＜0.05)]、甘油三酯[(1.6±0.9)mmol/L vs.(1.8±0.6)mmol/L,P＜0.05]明显下降,焦虑抑郁评分明显下降(P＜0.05).结论 系统的健康管理可以纠正正常高值血压人群不良生活方式,改善糖脂代谢正常和降低血压,并显著缓解焦虑忧郁情绪.
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