中老年血脂代谢紊乱和高血压患者综合干预效果评估

Assessment of the effect of comprehensive intervention to the middle aged and elderly people with lipid metabolic disturbance and high blood pressure

目的分析对中老年血脂代谢紊乱和高血压患者进行综合干预的效果,为中老年人预防高血压和心脑血管疾病提供参考。方法 2011年1月对该社区健康档案中527例血脂代谢紊乱和高血压病患者进行腰围(WC)、血压、血脂的检测,然后根据自愿的原则分成实验组和对照组。实验组对其进行健康知识教育及认知干预、定期进行WC和血压的检测,根据个体情况分别进行生活行为指导;对照组采取自行生活控制。1年后对两组再次进行以上项目检测。结果男性:实验组WC、收缩压(SBP)、舒张压(DBP)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)与对照组相比差异有统计学意义(P<0.01);女性:实验组WC、SBP、DBP、TG、HDL-C和LDL-C与对照组相比有统计学意义,P<0.01;男女之间各项指标相比无统计学意义,P>0.05。结论对中老年人群血脂代谢紊乱和高血压病患者进行综合干预管理,有利于社区中老年人血脂代谢的改善和血压的稳定,是提高中老年人群健康水平和生活质量的好办法。

Objective To offer a reference to prevent high blood pressure and cardiovascular disease of the middle aged and eld erly people by analyzing the effect of comprehensive intervention to the community middle aged and elderly people who had lipid metabolic disturbance and high blood pressure. Methods 59.7 patients with lipid metabolic disturbance and high blood pressure were selected from the health documentation of this community to measure waistline（WC）, blood pressure and lipid in January, 2011, then they were divided to experimental group and contrast group on voluntary basis. We made health education and cognition intervene to the experimental group, measured their waistline and blood pressure regularly and made life behavior guide according to their individual situation. The contrast group controlled life by themselves. These tests were made to these two groups after one year. Results Male：WC,SBP,DBP, TG, HDLC and LDL C levels of experimental group compared with the control group, were with statistical difference（P^0.01）. Female：in the experimental group, SBP, WC DBP,TG, HDLC and LDLC compared with the control group,P〈0.01 ;indicators compared between men and women, P〉 0.05. Conclusion Comprehensive intervention to the community middle aged and elderly people with lipid metabolic disturbance and high blood pressure could help to improve their lipid metabolism and stabilize blood pressure. It mighv.be a good method to improve the health level and quality of life of the community middle aged and elderly people.