中青年血压异常人群危险因素干预研究

An intervention study on the risk factors to the young and middle-aged population with abnormal blood pressure

目的:采用全程健康管理理念和方法对中青年血压异常人群进行危险因素的分析及干预效果评价。方法:选取105例中青年正常高值血压及高血压病患者为研究对象,进行全程健康管理并随访1年,对干预1年前后生活方式、血压、血脂等干预因素的变化情况进行分析。结果:①1年后吸烟、饮酒、饮食、运动方面的变化均有统计学意义。②经过全程健康管理,半年后高血压人数比例由52.38%降至23.81%,1年后进一步下降至5.71%,变化有统计学意义(P<0.0001)。③单纯生活方式改变与兼服降压药患者、正常高值人群和高血压人群干预前后血压水平变化均有统计学意义(P<0.05)。④干预前后危险因素水平除高密度脂蛋白胆固醇外,血脂、血糖、肥胖等其他因素均有下降,P值均<0.05,说明各指标水平的下降均有统计学意义。结论:对中青年血压异常人群进行全程健康管理和干预能改变不良生活方式,控制血脂、血糖、肥胖等危险因素,达到有效控制血压的目的。

Objective：To make an analysis and intervention study on the risk factors to the young and middle-aged population with abnormal blood pressure using the advanced health management method. Methods：Total 105 young and middle-aged patients with prehypertension or hypertension received one-year-intervention health management. Then the changes in the intervention factors,such as lifestyle,blood pressure and blood lipids,were analyzed. Results：①After one year intervention,the changes in smoking,alcohol consumption,diet,and exercising status have statistical significances. ②After a whole course of health management,the proportion of hypertension after six months decreased from 52.38% to 23.81%,and further to 5.71% after one year. This intervention is effective（P 0.000 1）. ③The level of blood pressure changed significantly in patients of the simple lifestyle changing group and the receiving antihypertensive treatment group,and also in the patients with prehypertension and hypertension after one year later （P 0.05）. ④Besides high-density lipoprotein cholesterol,the risk factors including lipids,glucose and obesity decreased significantly after intervention （P 0.05）. Conclusion：Whole range health management and intervention can change young and middle-aged patients’ lifestyle and control the blood lipids,blood-glucose,obesity and other risk factors,and effectively control blood pressure.