生活方式干预对原发性高血压防治效果的影响

Observation on effect of life style intervention on primary hypertension

目的探讨生活方式干预对高血压防治效果。方法将158例原发性高血压患者随机分为干预组（n=80）及对照组（n=78），干预组在降压药物治疗的基础上，实施生活方式干预，即健康指导、合理膳食、控制体重、戒烟限酒、加强锻炼等干预措施；对照组单纯采用药物治疗，生活如常；随访观察1年。结果干预组患者生活行为有明显改善，血压值下降，与对照组比较差异有统计学意义（P〈0．05）。结论原发性高血压在降压药物治疗的基础上，进行健康的生活方式干预，可明显提高降压效果，降低心脑血管并发症和后遗症的发生，并在一定程度上减少降压药物的用量，减少副作用，不仅提高患者生活质量，同时也减轻患者经济负担，值得临床推广应用。

Objective To study the effect of life style intervention on primary hypertension. Methods 158 cases with primary hypertension were randomly divided into the intervention group （ n = 80） and the control group （n=78）. In the intervention group, the patients received the life style intervention apart from medication. The intervention included health guidance, proper diets, weight control, no smoking and less drinking and more exercise. In the control group, the patients received only medication with usual life style. One-year follow-up was carried out. Results Among the intervention group, patients＇ behavior was obviously improved and blood pressure was decreased. There was a significant difference between the two groups （P 〈 0. 05, P 〈 0. 01 ）. Conclusions Based on the anti-hypertension drug, life style intervention can significantly improve the effects of decreasing blood pressure and reduce the incidence of cardiovascular diseases and sequel. It also reduces the usage of anti-hypertension drug and decreases the side effects, thereby improving the quality of life and decreasing the patients＇ economic load. It is worthy of clinical application.