基于中医体质的危险因素探讨高血压前期的社区综合干预模式

摘要

Objective To investigate the effect of comprehensive community intervention pattern on pre-hypertension based on the risk factors of constitution in Chinese medicine questionnaire. Methods The blood pressure from three hundred people who received physical examination in our community center was deter-mined.According to the measurements,300 people were divided into a pre-hypertension group (150 cases) and a healthy group (150 cases).The subjects were divided into 9 types of constitution in Chinese medicine ac-cording to the survey in which physical condition of subjects were studied by using the method of questionnaire investigation.Then the subjects received individual intervention measures.During a follow-up of 2 years,the prehypertension detection rate,blood pressure,body mass index and the behavior score of pre-hypertension group were compared with healthy group. Results The pre-hypertension detection rate of prehypertension group was significantly decreased after the personalized intervention (P <0.01).Meanwhile the body mass in-dex and blood pressure were significantly improved (P <0.05 ).The behavior improvement score increased significantly (P <0.05). Conclusion Based on the study of constitution in Chinese medicine,it is important that construction of the comprehensive community intervention pattern for prehypertension risk factors to pre-vent and ameliorate prehypertension.%目的：基于中医体质的危险因素探讨高血压前期的社区综合干预模式效果。方法测定300名来我社区中心体检者血压，将其分为高血压前期组(150例)和健康人群组(150例)，采用问卷调查法调查研究对象体质情况，根据调查结果将体检者分为9类中医体质，并采取个性化干预措施。随访2年，比较高血压前期组和健康人群组的高血压前期检出率、血压、体质量指数和行为改善评分。结果经个性化干预后高血压前期组高血压前期检出率显著下降(P <0.01)，体质量指数和血压显著改善(P <0.05)，行为改善评分显著升高(P <0.05)。结论基于中医体质研究，构建高血压前期危险因素的社区综合干预模式，对于高血压前期的预防和改善具有重要意义。