中医治未病健康管理模式对高血压前期人群的健康管理效果

Effect of treating disease before its onset on health management in the prehypertension population

目的 探讨中医治未病健康管理模式对高血压前期人群健康管理效果的影响。方法 选取2020年3月-2021年10月于漯河市中医院健康管理中心体检的高血压前期患者96例作为研究对象,采用随机数字表法分为观察组和对照组,每组48例。对照组患者采用常规健康管理模式,观察组患者采用中医治未病健康管理模式。比较干预前、干预6个月后2组患者血压水平[收缩压(SBP)、舒张压(DBP)]、血液流变学指标[全血黏度、血浆黏度]、血脂水平[总胆固醇(TC)、甘油三酯(TG)],以及干预6个月后头晕、头痛等症状发生情况。结果 2组患者干预6个月后SBP、DBP水平,全血黏度、血浆黏度及TC、TG水平均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者头晕、头痛发生率分别为22.92%、14.58%,低于对照组的43.75%、33.33%,差异均有统计学意义(χ^(2)=4.688、4.631,均P<0.05)。结论 中医治未病健康管理模式应用于高血压前期患者,有助于控制血压、改善血液流变学和血脂水平,改善临床症状。

Objective To investigate the effect of treating disease before its onset(TCM Therapeutic Principles)on health management in the prehypertensive population.Methods Ninety-six patients with prehypertension who underwent physical examination in the Luohe Hospital of Traditional Chinese Medicine from March 2020 to October 2021 were selected as the study subjects.Subjects were assigned to the observation group and the control group by the random number table,with 48 cases in each group.The patients in the control group received routine health management,and the patients in the observation group received the health management of treating disease before its onset(TCM concept).Blood pressure levels[systolic blood pressure(SBP),diastolic blood pressure(DBP)],hemorheological parameters[whole blood viscosity,plasma viscosity],blood lipid levels[total cholesterol(TC),triglyceride(TG)],and the occurrence of dizziness,headache and other symptoms after 6 months of intervention were compared between the two groups before and after 6 months of intervention.Results The SBP,DBP,whole blood viscosity,plasma viscosity,TC,and TG levels in the two groups after 6 months of intervention were lower than those before intervention,and the observation group was lower than the control group,with statistically significant differences(P<0.05).The incidence rate of dizziness and headache in the observation group was 22.92%and 14.58%,respectively,which was lower than those in the control group(43.75%and 33.33%,respectively),and the differences were statistically significant(χ^(2)=4.688,4.631,all P<0.05).Conclusion The use of health management of treating disease before its onset in patients with prehypertension is conducive to controlling blood pressure,improving hemorheology and blood lipid levels,and enhancing clinical symptoms.