营养治疗-药物治疗对原发性1级高血压患者血压影响比较探究.docVIP

营养治疗\药物治疗对原发性1级高血压患者血压影响比较探究[摘要] 目的：探讨营养治疗对原发性1级高血压患者血压的影响。方法：选择在体检中发现无重大疾病的原发性1级高血压患者，根据自愿原则分成3组，药物组给降压药治疗，营养组给予营养治疗，对照组不作任何处理。1年后再进行体检，对照两次检查结果进行分析。结果：营养治疗组的患者血压、体重有明显的降低，药物组患者血压也有明显的降低，但体重无明显降低，对照组患者血压、体重有小幅增加。结论：营养治疗能明显降低原发性1级患者的血压，对有超重和肥胖的患者还能有效降低体重，应当在社区中大力推广。 [关键词] 高血压；营养治疗；体重；收缩压；舒张压；体重指数 [中图分类号] R544.6 [文献标识码]A[文章编号]1674-4721（2011）07（c）-032-02 Comparative study of nutrition therapyand drug therapy in patients with class one primary hypertension XIE Guoxin Central Hospital of Xiangtan City, Hunan Province, Xiangtan 411100, China [Abstract] Objective: To evaluate the nutritional treatment of primary hypertension in a blood pressure. Methods: In the physical examination found no significant disease in patients with essential hypertension 1, divided into three groups on a voluntary basis, to the antihypertensive drug group therapy, nutrition group received nutritional treatment and control group without any treatment. One year later, a medical examination, test results were analyzed twice. Results: Nutritional treatment group blood pressure, body weight significantly decreased blood pressure medication group also had significantly decreased, but not significantly lower body weight, control blood pressure, body weight increased slightly. Conclusion: Nutritional therapy can significantly reduce blood pressure in patients with primary 1, to have overweight and obese patients can reduce the weight, should be vigorously promoted in the community. [Key words] Hypertension; Nutrition therapy; Weight; Systolic blood pressure; Diastolic blood pressure; BMI 原发性高血压是最常见心血管疾病，也是心血管疾病死亡原因之一，我国18岁及以上成年人高血压患病率为18.8%，全国有高血压患者1.6亿[1]。膳食不合理是高血压的三大行为因素之一[2-4]。因此本次研究是通过改变高血压患者不合理膳食而产生对血压影响与单纯用药物治疗高血压的作用进行一次比较，为社区营养宣教提供资料。 1 资料与方法 1.1 一般资料 2008年10月～2010年10月在体检中发现无重大疾病有原发性1 级高血压的患者75例，根据自愿原则分成3组，对照组24例，药物治疗组26例，营养治疗组25例。 1.2 研究方法 研究前对所有患者进行体检，所测的身高、体重、收缩压、舒张压作为第一次数据。对照组不作任何处理，药物组由临床医师根据个体情况给予药物治疗而不进行营养治疗；营养组由营养医师根据平衡膳食原则给予个性化的营养治疗：限制总热能，调整膳食结构，严