安徽医学
安徽醫學
안휘의학
ANHUI MEDICAL JOURNAL
2014年
11期
1598-1601
,共4页
高血压%运动干预%生化指标%饮食干预
高血壓%運動榦預%生化指標%飲食榦預
고혈압%운동간예%생화지표%음식간예
Hypertension%Exercise intervention%Biochemical index%Dietary intervention
目的：探讨综合干预对社区老年高血压患者的疗效及生理生化指标的影响。方法选择60-67岁79例高血压患者为研究对象，分为干预组和对照组。对干预组40例，采用健步走+太极拳+广场舞的运动干预、饮食干预、药物治疗和健康教育等综合治疗方案；对照组39例，进行常规药物治疗和健康教育。结果经过16周的干预，干预组的有效率为95.0%，对照组的有效率为71.8%，经卡方检验存在显著性差异(P<0.01)，干预组与对照组相比较在体重、臀围、高密度脂蛋白胆固醇(HDL-C)、舒张压(DBP)等存在显著性差异(P<0.05)；BMI、腰围、腰臀比、血清总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)空腹血糖(GLU)等存在非常显著性差异(P<0.01)。结论长期科学、合理的体育锻炼和饮食干预对老年高血压患者具有良好的降压及降血脂的作用，应该在社区内积极推广。
目的：探討綜閤榦預對社區老年高血壓患者的療效及生理生化指標的影響。方法選擇60-67歲79例高血壓患者為研究對象，分為榦預組和對照組。對榦預組40例，採用健步走+太極拳+廣場舞的運動榦預、飲食榦預、藥物治療和健康教育等綜閤治療方案；對照組39例，進行常規藥物治療和健康教育。結果經過16週的榦預，榦預組的有效率為95.0%，對照組的有效率為71.8%，經卡方檢驗存在顯著性差異(P<0.01)，榦預組與對照組相比較在體重、臀圍、高密度脂蛋白膽固醇(HDL-C)、舒張壓(DBP)等存在顯著性差異(P<0.05)；BMI、腰圍、腰臀比、血清總膽固醇(TC)、甘油三酯(TG)、低密度脂蛋白膽固醇(LDL-C)空腹血糖(GLU)等存在非常顯著性差異(P<0.01)。結論長期科學、閤理的體育鍛煉和飲食榦預對老年高血壓患者具有良好的降壓及降血脂的作用，應該在社區內積極推廣。
목적：탐토종합간예대사구노년고혈압환자적료효급생리생화지표적영향。방법선택60-67세79례고혈압환자위연구대상，분위간예조화대조조。대간예조40례，채용건보주+태겁권+엄장무적운동간예、음식간예、약물치료화건강교육등종합치료방안；대조조39례，진행상규약물치료화건강교육。결과경과16주적간예，간예조적유효솔위95.0%，대조조적유효솔위71.8%，경잡방검험존재현저성차이(P<0.01)，간예조여대조조상비교재체중、둔위、고밀도지단백담고순(HDL-C)、서장압(DBP)등존재현저성차이(P<0.05)；BMI、요위、요둔비、혈청총담고순(TC)、감유삼지(TG)、저밀도지단백담고순(LDL-C)공복혈당(GLU)등존재비상현저성차이(P<0.01)。결론장기과학、합리적체육단련화음식간예대노년고혈압환자구유량호적강압급강혈지적작용，응해재사구내적겁추엄。
Objective To explore the effect of comprehensive intervention on elderly patients with hypertension in a community and the effect on physiological and biochemical indexes. Methods Seventy-nine cases of hypertensive patients aged 60-67 as the object of study were randomly divided into intervention group and control group. The intervention group consisted of 40 cases, who received the walking+ Tai Chi + square dance exercise, and diet, drug therapy and health education and comprehensive treatment;the control group had 39 ca-ses treated with routine drug. Results After 20 weeks of treatment, the efficiency of intervention group was 95%, and that of control group was 71. 8%, which showed a significant difference in chi square test(P<0. 01);compared with control group, there was a significant differ-ence in the heart rate, weight, circumference, high density lipoprotein cholesterol ( HDL-C) , diastolic blood pressure ( DBP) of interven-tion group (P<0. 05), and there was highly significant difference in BMI, waist circumference, waist hip ratio, serum total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL-C) fasting blood glucose (GLU) of intervention group(P<0. 01). Conclusion The comprehensive intervention and long-term scientific, reasonable exercise have good antihypertensive and lipid lowering effect on the elderly patients with hypertension in the community, which should be actively promoted.
