生活方式干预在血脂异常体检人群中的应用及效果

Application and effect of lifestyle intervention in health examination population with dyslipidemia

目的评价生活方式干预对血脂异常体检人群降低血脂的效果。方法选择188例血脂异常的体检者按体检编号随机分为干预组和对照组;对照组在常规体检报告中附一份血脂异常疾病饮食健康指南;干预组从饮食管理、运动管理、心理管理、健康教育4个方面进行健康生活方式干预。干预前和干预后6个月对两组体检者的生活方式和血脂水平进行比较。结果实施生活方式干预后,干预组体检者生活方式评分优于对照组(P<0.01);干预组体检者的总胆固醇、甘油三酯、低密度脂蛋白胆固醇水平下降明显,高密度脂蛋白胆固醇水平升高明显(P<0.05)。结论生活方式干预能有效改变血脂异常体检人群的血脂水平。

Objective To evaluate the effect of lifestyle intervention on reducing blood lipid in health examination population with dyslipidemia. Methods Totally, 188 cases of dyslipidemia subjects were randomly divided into the intervention group and the control group according to the number of physi- cal examination. Patients in the control group received a copy of dyslipidemia diet health guide in the conventional physical examination report, while patients in the intervention group received healthy lifestyle interventions from four aspects of diet management, sports management, psychology management, health education. Before and after 6 months intervention, patients lifestyle and blood lipid levels were compared. Results Implementation of lifestyle intervention, lifestyle score of patients in the intervention group were better than those of the control group （ P 〈 0.01 ）. The total cholesterol, triglyceride, low density lipoprotein cholesterol lev- els of physical examination patients in the intervention group decreased significantly, while high density lipoprotein cholesterol level significantly increased （ P 〈 0.05 ）. Conclusion Life style intervention can effectively change the blood lipid levels in the blood lipid abnormal physical examination population .