青年正常高值血压人群生活方式干预效果评价

摘要

Objective To review the results of life style intervention in people group of high-normal blood pressure. Methods The young people ( n =100, aged from 18 to 44 ) with high-normal blood pressure f ( 120-139 ) / ( 80-90 ) mmHgl were selected from May, 2010 to Oct. 2010, and then randomly divided into intervention group ( n=50 ) and control group ( n =50 ) . The intervention group was given life style intervention for 2 years including health education and intervention of diet, sport and psychology. The changes of blood pressure, blood fat, body mass index ( BMI ) and disease cognition were compared before and after the intervention. Results In intervention group, blood pressure and BMI decreased significantly and disease cognition increased significantly through life style intervention for 2 years. After 2 years, systolic blood pressure decreased by 15.6 mmHg and diastolic blood pressure decreased by 5.4 mmHg in intervention group compared with control group ( P<0.05 ) . Conclusion The life style intervention in people group of high-normal blood pressure can effectively reduce blood pressure difference and risk factors of hypertension.%目的 评价正常高值血压人群生活方式干预的临床效果.方法 纳入2010年5月～2010年10月正常高值青年人群(18岁~44岁)100例[血压为(120～139)/ (80～89)mmHg].将其随机分为干预组(n=50)与对照组(n=50),对干预组进行2年的生活方式干预,包括健康教育、饮食、运动、心理等方面的干预指导;并对实施前后血压、血脂、体重指数、疾病认知进行对比.结果 通过2年生活方式干预后,干预组血压、体重下降明显,疾病认知率明显提高.2年后,干预组较对照组平均收缩压下降了15.6 mmHg、舒张压下降5.4 mmHg,与对照组相比差异均有统计学意义(P＜0.05).结论 对正常高值血压人群实施生活方式干预,可有效降低血压差异及高血压危险因素.