改良的DASH膳食应用于原发性高血压患者的效果及生命质量评价.PDFVIP

改良的DASH 膳食应用于原发性高血压患者的效果及生命质量评价 袁芹，张雪姣，谢延，招琳，张郁玲 深圳市福田区慢性病防治院，广东深圳 518048 摘要: 目的：研究改良的DASH 膳食对原发性高血压病的干预效果及生命质量的影响。方法： 将深圳市福田区社区慢性病管理平台的 100 例原发性高血压患者随机分为对照组和干预组， 其中对照组54 例，干预组46 例。对照组在延续以往的饮食及服药习惯的同时，给予日常 的健康教育，干预组在服药及日常健康教育的基础上，强调遵照DASH 膳食。比较两组在 干预前后的血压及生命质量改变。结果：通过改良的DASH 膳食干预1 年后，患者的血压 均有不同程度的改善，差异有统计学意义（P ＜0.01 ），且随着干预时间的延长，血压下降 的越明显。干预组PF 、GH、VT 、SF、RE 、MH 较干预前均有明显的改善（P ﹤0.05），干 预组PF 、VT 、SF、RE 、MH 较对照组有明显的提高（P ﹤0.05）结论：改良的DASH 膳食 可有效降低原发性高血压患者的血压，提高其生命质量。 关键词:DASH 膳食；原发性高血压；效果评价；生命质量 Evaluation on Effectiveness and Quality of Life in Essential Hypertension Patients Applied with the DASH Diet YUAN Qin ZHANGXue-jiao XIE Yan ZHAO Lin ZHANG Yu-ling Shenzhen Futian Chronic Disease Control Hosital, 518048, Guangdong, China Abstract:Objectives:To investigatethe evaluationoneffectiveness and quality of life in essential hypertension patients applied with the DASH diet.Methods: 100 patients with essential hypertension randomly divided into control group with 54 and intervention groupwith46. The control group weregivedwith daily health educationin the continuation of the previous diet and medication habits. The intervention group weregivedwith DASH dieton the basis of daily medication and health education. The blood pressure and changes in quality of life before and after the intervention were observed. Results: The patients blood pressure improved after 1 year intervention with DASH diet. The difference was statistically significant (P 0.01). PF, GH, VT, SF, RE, MHwere significantly improved after 1year intervention(P ﹤0.05). PF, VT, SF, RE, MH were significantly improvedcompared with the contral group(P ﹤0.05). Conclusions: 基金:深圳市福田区卫生公益性科研项目（编号：FTWS201354 ） 作者简介：袁芹，（1982-），女，汉族，江西宜春人，主管医师，硕士，主要从事营养学 与慢性病防治。 Modified DASH diet can reduce blood pressure and improve the quality of life in patients with essential hy