摘要
目的探讨健康体检中高血压发病情况与中医体质干预在健康管理中的应用效果。方法选择2016年12月-2018年12月参加健康体检人员100例作为研究对象,采用随机数字表法分为对照组(50例)和观察组(50例)。对照组给予常规健康管理治疗,观察组在对照组基础上进行中医体质干预的方法治疗,治疗1个月后对患者效果进行评估,观察比较各组中不同体质量、年龄、性别出现高血压的几率以及在2组不同管理方式中,各因素导致高血压的几率和2组经过不同管理方式治疗前、治疗后收缩压和舒张压的变化。结果观察组检出高血压患者34例,对照组检出高血压患者42例。观察组和对照组中体质量正常的患者出现高血压的几率均低于体质量肥胖的患者(P<0.05);观察组和对照组中男性高血压的患病率均高于女性(P<0.05);2组中70岁以上的发病率均明显高于其他阶段的发病率(P<0.05);观察组在不同体质量、性别、年龄的发病率均明显低于对照组(P<0.05);2组治疗前收缩压和舒张压比较,差异均无统计学意义(P>0.05);观察组治疗1月后收缩压和舒张压均低于对照组(P<0.05)。结论高血压的发病与患者的体质量、年龄、性别和体质有很大关系,将中医体质干预用在健康管理,可以有效降低各因素导致的高血压的发病率,提高干预后的管理效果,预防了心脑血管类疾病的发生,值得推广应用。
Objective To investigate the incidence of hypertension in physical examination and the application of TCM constitution intervention in health management.Methods 100 cases of physical examination personnel who came to our hospital from December 2016 to December 2018 were selected as subjects.The random number table was used.Patients were divided into the control group(n=50)and the observation group(n=50).The control group was given conventional treatment,and the observation group received constitution of TCM intervention treatment on the basis of the control group.1 month after treatment,effect of patients was evaluated,comparison between groups of different weight,age,gender,the chances of high blood pressure and the two groups of different management methods,lead to high blood pressure risk and various factors in the two groups after different management methods before and after the treatment of systolic and diastolic blood pressure changes was compared.Results 34 cases of hypertension were detected in observation group and 42 cases in the control group.The normal weight patients in the observation group and the control group were less likely to have hypertension than the obese patients(P<0.05).The prevalence of hypertension in the observation group and the control group was higher than that in the female group(P<0.05).The incidence of patients over 70 years old in both groups was significantly higher than that in other stages(P<0.05).The incidence of different body weight,gender and age in the observation group was significantly lower than that in the control group(P<0.05).There was no significant difference in systolic and diastolic blood pressure between the two groups before treatment(P>0.05).The systolic and diastolic blood pressures of the observation group were lower than those of the control group 1 month after treatment(P<0.05).Conclusion The incidence of hypertension is closely related to the patient’s weight,age,gender and physical condition.The application of TCM constitution intervention in health management can effectively reduce the incidence of hypertension caused by various factors,improve the management effect after intervention and prevent the occurrence of cardiovascular and cerebrovascular diseases,which is worthy of promotion and application.
作者
谢梦
XIE Meng(Department of Physical Examination,Jiangxi People’s Hospital,Jiangxi Province,Nanchang 330006,China)
出处
《光明中医》
2019年第21期3221-3223,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
健康体检
高血压发病情况
中医体质干预
健康管理
health examination
incidence of hypertension
TCM constitution intervention
health management