合理营养干预为主治疗肥胖病伴高血压患儿的研究

Study of reasonable nutritional intervention and exercises therapy on children with obesity and hypertension

目的探讨合理营养干预对肥胖病伴高血压患儿的治疗效果。方法以240例7~18岁的单纯性肥胖儿童为研究对象,采用高蛋白质、适量脂肪和碳水化合物的营养干预模式,每天至少运动30 min,常规补充多种维生素和微量元素制剂,观察干预效果。结果240例超重及肥胖儿中有89例诊断为高血压。89例中行正规随访67例,其中痊愈53例（79%）,好转12例（18%）,未愈2例（3%）。肥胖儿童的体质量指数、腰围与血压呈明显正相关。结论儿童肥胖病常伴有高血压,以合理营养干预为主的综合治疗可提高高血压患儿的预后。

Objective It is to approach the effect of reasonable nutritional intervention and exercises therapy on children with obesity and hypertension. Methods Adopting 240 children with Simple obesity who were seven to eighteen years old as researching objective, were treated by nutritional intervention modes including high protein, fitting fat and carbohydrate, and exercised at least 30 minutes everyday, and conventionally replenished multiple vitamins and microelements. Then the interventional effect was observed. Results Of the 240 children with obesity, 89 cases suffered hypertension, and 67 cases of them were followed by after they leaved the hospital. 53 cases were cured, and 12 cases were improved, and 2 case were inactived after integrated therapy. There were positive correlation between the index of body mass and the waistline with the blood pressure in children with obesity. Conclusion Children with obesity are often followed by hypertension, integrated therapy with priority of reasonable nutritional intervention can improve the prognosis of those children with hypertension.