CAJ | 학술논문

目的：探讨中医食疗对调理高血压患者痰湿体质、控制血压、提高生存质量和降低血脂的作用。方法：将100例高血压患者（痰湿体质）随机分为2组，对照组给予常规健康宣教，观察组在此基础上给予中医食疗。比较2组干预前后不同时间点痰湿体质分值的变化情况、干预前后血压、血脂变化以及干预后患者生存质量。结果：①对照组干预4、8、12周与干预前比较，差异均无统计学意义（P＞0.05），观察组各时间点与对照组比较，差异具有统计学意义（P＜0.05）；②收缩压及舒张压对照组干预前后比较，差异均无统计学意义（P＞0.05），观察组干预前后比较，差异均具有统计学意义（P＜0.05），2组干预后相比，差异具有统计学意义（P＜0.05）；③总胆固醇(TC)、甘油三酯(TG)对照组干预前后比较，差异均无统计学意义（P＞0.05），观察组干预前后比较，差异均具有统计学意义（P＜0.05），且2组干预后相比，差异具有统计学意义（P＜0.05）；④对照组生活质量问卷(QLQC-30)各项指标评分均要明显低于观察组（P＜0.05）。结论：中医食疗对调理高血压患者痰湿体质、控制血压、提高生存质量和降低血脂均具有一定的促进意义。
목적：탐토중의식료대조리고혈압환자담습체질、공제혈압、제고생존질량화강저혈지적작용。방법：장100례고혈압환자（담습체질）수궤분위2조，대조조급여상규건강선교，관찰조재차기출상급여중의식료。비교2조간예전후불동시간점담습체질분치적변화정황、간예전후혈압、혈지변화이급간예후환자생존질량。결과：①대조조간예4、8、12주여간예전비교，차이균무통계학의의（P＞0.05），관찰조각시간점여대조조비교，차이구유통계학의의（P＜0.05）；②수축압급서장압대조조간예전후비교，차이균무통계학의의（P＞0.05），관찰조간예전후비교，차이균구유통계학의의（P＜0.05），2조간예후상비，차이구유통계학의의（P＜0.05）；③총담고순(TC)、감유삼지(TG)대조조간예전후비교，차이균무통계학의의（P＞0.05），관찰조간예전후비교，차이균구유통계학의의（P＜0.05），차2조간예후상비，차이구유통계학의의（P＜0.05）；④대조조생활질량문권(QLQC-30)각항지표평분균요명현저우관찰조（P＜0.05）。결론：중의식료대조리고혈압환자담습체질、공제혈압、제고생존질량화강저혈지균구유일정적촉진의의。
Objective:To verify the effects of TCM food therapy on regulating phlegm-dampness constitution of the patients suffering from hypertension, controlling blood pressure, improving life quality and decreasing blood lipid. Method:One hundred patients (phlegm-dampness type) were randomized into two groups. The control group were administered with routine health education and the observation group TCM food therapy on this foundation. Changes of phlegm-dampness constitution scales at different times, blood pressure, blood lipid and life quality of the patients were compared before and after intervention. Result:①The difference had no statistical meaning when the control group before intervention was compared with after intervened for four, eight and 12 weeks(P>0.05), the dif-ference had statistical meaning in phlegm-dampness constitution scales at different times in the observation group (P<0.05);②The comparison had no statistical difference in diastolic pressure and systolic pressure before and after intervention in the control group(P>0.05), the difference had statistical meaning in the observation group before and after intervention (P<0.05), the difference had statistical meaning when both groups were compared in blood pres-sure after intervention (P<0.05);③The difference had no statistical meaning in TC and TG before and after inter-vention in the control group(P>0.05), the difference had statistical meaning in the observation group(P<0.05), the difference had statistical meaning when both groups were compared after intervention (P<0.05); ④ The control group was lower than the observation group in the scales of the indexes obviously according to QLQC-30 evaluation standard(P<0.05). Conclusion:TCM food therapy could promote the regulation of phlegm-dampness constitution in the patients with hypertension, blood pressure control, the improvement of life quality and the decrease of blood lipid in some way.