劳务工高血压早期非药物治疗疗效观察.docVIP

劳务工高血压早期非药物治疗疗效观察【摘要】 目的 观察劳务工1级原发性高血压非药物治疗效果，分析单独采用非药物治疗与药物治疗的疗效差异。方法 选择100例初诊且无靶器官损害的劳务工1级高血压患者，随机分为二组，A组50例，给予非药物治疗，包括限盐、戒烟酒、减重、适当运动，控制超时加班，改善饮食结构；B组给予硝苯地平缓释片（圣通平）10 mg,2次/d，观察二组患者血压变化。结果 给予非药物治疗2个月收缩压和舒张压分别下降6.2%和3.8%，降压总有效率48%。药物治疗组收缩压和舒张压下降8.6%和4.5%,降压总有效率64%,二组相比无显著性差异。在非药物治疗中，限盐和适量运动与血压下降呈正相关，长期超时加班和工作紧张与血压下降呈负相关。结论 对于劳务工1级原发性高血压，早期单独给予健康干预和生活方式改善的非药物治疗可使血压下降，半数患者血压可降至正常范围，与单独降压药圣通平治疗效果相似。 【关键词】 劳务工； 高血压；非药物治疗 Evaluation of nonpharmacologic treatments on early stage of labor workers hypertension YANG Ze-min, LI Hong-xia, LI Heng-mei, et al. The SecondPeople’sHospital of Futian district Shenzhen,Guangdong 518049,China 【Abstract】 Objective To investigatc the effects and methods withnonpharmacologic treatmens and pharmacologic treatment on early stage of labor workershypertension. Methods 100 patients had hereditary family background and unhealthy life habits ,but they had no complications andtopicalorgans damaged enrolled.They were divided in 2 groups. Group Awere nonpharmacologic treatments including limiting salt, smoke and drink,decreasing body weight,appropriate exercise,control extra work hours, improve diet structure.Group B were given nifedipine sustained-release tablet 10 mg two times one day.The levels of blood pressures was analysed.Results After 2 months offollow-up ,the systolic and diastolic blood pressures in group Areducedby 6.2% and 3.8% ,effective rate 48%; group B reducedby 8.6% and 4.5% ,effective rate 64%.There no significant difference.Conclusion In contrast with pharmacologic treatment ,Health interventionand life style improvementare effective and feasible for early stage hypertension,half of labor workers regain normalbloodpressures. 【Key words】 Labor workers；Hypertension ；Nonpharmacologic treatmens 通过对我院及所属社康中心绑定的劳务工高血压普查，发现钠盐摄入过多、超时加班和工作紧张是劳务工高血压的主要危险因素，本文观察以改变生活方式和行为因素为主的治疗方法对早期高血压的疗效。 1 对象与方法 1.1 对象 在劳务工高血压普查的初诊高血压患者中，随机抽取有各种不良生活习惯或劳动时间超过10 h的1级高血压患者100例，其诊断标准符合中国高血压防治指南［1］，血压值为140～159/90～99mm Hg，排除冠心病、糖尿病