合理营养干预对儿童青少年肥胖病伴高血压的治疗效果

Effect of Rational Nutrition Intervention on Treatment of Obesity in Children and Adolescents with Hypertension

目的:探讨合理营养干预对肥胖病伴高血压患儿的临床疗效及治疗前后体重指数(BMI)、收缩压(SBP)、舒张压(DBP)的影响。方法 :将2014年2月至2015年2月我院诊治的肥胖病伴高血压患儿140例随机分为观察组(n=70)和对照组(n=70),对照组给予奥美沙坦酯治疗,观察组在对照组治疗基础上联合合理营养干预,比较两组临床疗效及治疗前后BMI、SBP、DBP。结果:观察组的总有效率显著高于对照组(97.1%vs 88.6%,P<0.05);两组患儿治疗后的BMI、SBP、DBP均较治疗前明显降低(P<0.05),但观察组显著低于对照组(P<0.05)。结论 :合理营养干预可提高儿童青少年肥胖病伴高血压的临床效果。

Objective ： To explore the therapeutic effect of rational nutrition intervention in the treatment of obese patients with hypertension and the effect of body mass index（BMI）,systolic blood pressure（SBP） and diastolic blood pressure（DBP） before and after treatment. Methods ： 140 patients with obesity and hypertension were randomly divided into observation group（n = 70） and control group（n = 70） from Feb 2014 to Feb 2015.The observation group was combined treated with reasonable nutritional intervention on the basis of the control group treated by olmesartan. The clinical effect and the changes of BMI,SBP and DBP before and after treatment were compared between the two groups. Results ： The total effective rate in the observation group was significantly higher than that in the control group（97.1% vs 88.6%,P〈0.05）. Although the BMI,SBP and DBP were significant lower after treatment than before treatment in the two groups（P〈0.05）,those in observation group were significant decreased than those in the control group（P〈0.05） after treatment. Conclusion ： It may improve the clinical effect of reasonable nutrition intervention for childhood obesity with hypertension.