健康管理对代谢综合征患者的干预效果

Intervention effect of health management on metabolic syndrome patients

目的：探讨健康管理干预对代谢综合征患者代谢指标的影响。方法：用随机抽样方法选取109例MS患者进行以饮食、运动为主的健康管理干预,5～6个月后观察比较干预前后的各项代谢指标。结果：干预前代谢指标：体重指数（BMI）、血压（BP）、空腹血糖（FPG）、甘油三酯（TG）、高密度脂蛋白胆固醇（HDL-C）发病率分别为97.25%,88.99%,59.63%,82.57%,23.85%。将TG、BMI、FPG、BP、DHL-C分别作为一个单独的组分,仅有5种、4种和3种组分异常的MS患者分别占10.09%,32.11%,57.80%,其中比例最高的为BMI＋BP＋TG,占28.44%。干预后BMI、FBG、TG、收缩压（SBP）和舒张压（DBP）降低,HDL-C升高,差异具有统计学意义（P〈0.01）。结论：健康管理干预可有效地改善MS患者的各项代谢指标及其健康状态。

Objective：To investigate the effect of health management intervention on the metabolic syndrome parameters of metabolic syndrome （MS） patients. Methods： 109 MS patients were randomly selected and received health management of physical activity and diet intervention, then the differences of metabolic syndrome indicators before intervention and 5-6 months after intervention were compared. Results： Before intervention, the prevalence of BMI, BP, FPG, TG and HDL-C was 97.25%,88.99%, 59.63%, 82.57% and 23.85% respectively. BMI, BP, FPG, TG, and DHL-C were taken as a separate component respectively, the prevalence of patients with only five, four, or three components as a combination was 10.09%, 32.11%, and 57.80% respectively. Of which, the combination of BMI＋BP＋TG disorder was the most common phenotype （28.44%）. After intervention, BMI, FPG, TG, SBP and DBP were reduced, while HDL-C increased, which were of statistically significance （P〈0.01）. Conclusion： Intervention of health management can effectively improve the metabolic abnormality and the health level of patients with MS.