高脂血症患者治疗性生活方式改变的策略与效果评价

Strategies and Effective Evaluation of Therapeutic Lifestyle Change of Hyperlipidemia Patients

目的探讨高脂血症患者治疗性生活方式改变的策略与效果。方法在健康教育的基础上，采用食品交换法控制高脂血症患者的饮食，倡导中强度有氧运动，并用能量代谢当量值控制每周运动量，指导患者记生活日记，干预3个月后进行效果评价。结果96例高脂血症患者干预前饮食控制和运动量不合理者分别为90．62％与87．5％，高热量与高脂肪摄入者为100％与94．25％；干预后总热量与脂肪摄入显著减少，运动量增加；无冠心病且危险因素〈2个及〉2个的患者LDL—C达标率分别为100％与61．54％，TG、TCH、HDL—C均有不同程度改善（均P〈0．01）；肥胖患者体重降低；生活方式得到改善；患者健康意识普遍增强。结论治疗性生活方式改变能使患者建立良好饮食与运动行为习惯，减少对患者预后不利的影响。

Objective To investigate the strategies and effect on therapeutic lifestyle change of hyperlipidemia patients. Methods The effective evaluation of three - month intervention was carried out on the basis of health education, control of diet by exchange of food, advocacy of intensity aerobic exercise, and control of weekly energy expenditure by energy metabolism value as well as instructing of patients to write diary. Results Among of 96 cases of patients, before intervention 90. 62% and 87.5% of them were suffered with unreasonable diet and exercise respectively. High calorie and high fat intake patients were 100% and 94. 25% respectively; After intervention, the calorie and fat intake were reduced remarkably, the exercise was increased; Standard rate of LDL - C were 100%与61.54%, TG, TCH and HDL- C were improved at different level （all P 〈0. 01 ） ; Obesity patients lesed weight; Lifestyles were modified; health consciousness of patients were generally increased. Conclusion Therapeutic lifestyle changes can enable patients to establish good diet and exercise habits, reduce entirely adverse impact on hyperlipidemia patients, which has shown that the intervention strategy in this paper is effective and feasible.