从中医“治未病”理论探讨心血管疾病的初级预防

Explore Primary Prevention of CVD From the Theory of Preventive Treatment of Disease in Traditional Chinese Medicine

目的：中医＂治未病＂理论指导下探讨心血管疾病的初级预防.方法：选取2010年9月-2013年9月磨山社区无心血管相关疾病及危险因素的320例志愿者,随机分成对照组与干预组。对照组不做任何的干预和指导,干预组按照＂合理膳食、适当运动、戒烟限酒、心理平衡同时服用酵素及经络穴位按摩＂的健康生活方式给予健康教育指导,预防危险因素的发生。观察两组的临床效果,并进行统计学分析。结果：通过对干预组160例志愿者进行健康教育指导,吸烟发生率为6.3%、血压异常率为1.9%、胆固醇异常率为1.3%、空腹血糖异常率为1.3%、MBI异常率为1.3%,危险因素好发率为8.1%,较对照组危险因素好发率45.6%明显减少,两组对比差异具有显著性。结论：采用健康的生活方式可以明显减少心血管病危险因素的发生,这与防病于未然,治病于初始阶段的中医＂治未病＂理论精髓相一致,值得基层医疗机构推广应用,同时也为心血管病的临床预防及致力于中医＂治未病＂研究提供了有价值的参考。

Objective：To explore the primary prevention of cardiovascular disease（CVD）under the Theoretical guidance of traditional Chinese medicine ＂preventive treatment of disease＂.Methods：Select 320cases volunteers Without cardiovascular disease（CVD）and risk factors in MoShan community in September 2010to September 2013,were randomly divided into two groups,the control group：without any intervention and guidance,the intervention group：According to ＂reasonable diet,adequate exercise,no smoking and limited amount of liquor,psychological balance at the same time taking enzymes and channels and collaterals acupuncture point massage＂ healthy lifestyle give health education guidance,prevent the occurrence of risk factors.Observe the clinical effect of two groups,and statistical analysis.Results：Through the health education guidance to intervention group,160cases of volunteers,smoking rate was 6.3%,Abnormal blood pressure at a rate of 1.9%,Abnormal cholesterol at a rate of 1.3%,Fasting glucose abnormal rate was 1.3%,MBI abnormal rate was 1.3%,The incidence of risk factors was 8.1%,risk factors than the control group with45.6%rate decreased significantly,the two groups have significant difference compared.Conclusion：adopting a healthy lifestyle can significantly reduce the incidence of cardiovascular disease（CVD）risk factors,The prevention and cure,treating in the initial stage of the theory of traditional Chinese medicine ＂preventive treatment of disease＂ essence is consistent.it is worth popularization and application in primary health care institutions,as well as clinical cardiovascular disease preventive and to study of TCM ＂preventive treatment of disease＂ provides a valuable reference