改善生活方式对高血压前期人群血压影响.docVIP

改善生活方式对高血压前期人群血压影响 　　[摘要] 目的 探讨改善生活方式对高血压前期人群血压的影响。 方法 选取2008年5月～2009年5月本院的1120例高血压前期患者作为研究对象，随机分为干预组（n=542）和对照组（n=578）。干预组坚持5年的健康生活方式，包括普及高血压防治知识，减少钠盐摄入，增加钾盐摄入、坚持体育运动等，对照组未进行常规指导。比较两组的血压改善情况。 结果 干预组的低盐饮食、运动、体重指数改善、控制饮酒率显著高于对照组，差异有统计学意义（P0.01）。干预组干预后的收缩压与舒张压显著低于干预前，差异有统计学意义（P0.01）。干预组干预后的收缩压与舒张压显著低于对照组干预后，差异有统计学意义（P0.01）。干预组的血压控制率为15.2%，显著高于对照组的5.3%，差异有统计学意义（P0.01）。 结论 生活方式的改善对高血压前期人群的血压有预防和延迟作用，能够降低心血管风险。 　　[关键词] 高血压前期；生活方式；干预 　　[中图分类号] R541.3 [文献标识码] A [文章编号] 1674-4721（2015）08（c）-0144-03 　　[Abstract] Objective To explore the influence of improving life style on crowd of blood pressure in the early stage of hypertension. Methods 1120 cases of blood pressure in the early stage of hypertension from May 2008 to May 2009 in our hospital were selected and divided into the intervention group （n=542） and the control group （n=578）.The intervention group was given a healthy lifestyle and maintained for 5 years，included popularizing the knowledge of hypertension prevention and control，reducing sodium intake，increasing potassium intake and keeping doing physical exercise.The control group was not given the regular guidance.The situation of blood pressure improvement in two groups was compared. Results The rate of low salt diet，exercise，body mass index and control alcohol consumption in the intervention group was higher than that in the control group，with significant difference（P0.01）.Systolic blood pressure and diastolic blood pressure of the intervention group after intervention was lower than that before intervention，with significant difference（P0.01）.Systolic blood pressure and diastolic blood pressure of the intervention group after intervention was lower than that of the control group after intervention，with significant difference（P0.01）.The control rate of blood pressure in the intervention group was 15.2%，which was higher than 5.3% in the control group，with significant difference（P0.01）. Conclusion The improvement of life style has the function of preventing and d