精准运动联合饮食干预对高血压前期患者的应用效果

Application effect of precise exercise combined with dietary intervention on patients with prehypertension

目的探究精准运动联合饮食干预对高血压前期患者的应用效果。方法选取2019年7月至2021年3月于本院体检中心体检并初次诊断为高血压前期的100例患者作为研究对象,按照随机数字表法分为两组,每组50例。对照组采用常规健康教育及指导,观察组在对照组基础上给予精准运动联合饮食干预,比较两组血压、血脂水平、危险因素。结果干预前,两组收缩压、舒张压、大动脉舒张期衰减弹性指数(C1)、小动脉舒张期衰减弹性指数(C2)比较差异无统计学意义;干预后,两组收缩压、舒张压均低于干预前,C1、C2均高于干预前,且观察组收缩压、舒张压均低于对照组,C1、C2均高于对照组,差异有统计学意义(P<0.05)。干预前,两组总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(lDL-C)水平比较差异无统计学意义;干预后,两组TC、TG、LDL-C水平均低于干预前,HDL-C水平高于干预前,且观察组TC、TG、LDL-C水平均低于对照组,HDL-C水平高于对照组,差异有统计学意义(P<0.05)。干预前,两组体重指数(BMI)、空腹血糖(FPG)水平、腰围比较差异无统计学意义;干预后,两组BMI、FPG水平均低于干预前,腰围小于干预前,且观察组BMI、FPG水平均低于对照组,腰围小于对照组,差异有统计学意义(P<0.05)。结论精准运动联合饮食干预对高血压前期患者的应用效果显著,可降低患者血压及血脂水平,减少高危因素,缓解高血压病情。

Objective To explore the effect of precise exercise combined with dietary intervention on patients with prehypertension.Methods 100 patients who underwent physical examination in the Physical Examination Center of our hospital from July 2019 to March 2021 and they were first diagnosed with prehypertension were selected as the research subjects,they were divided into the two groups according to the random number table method,with 50 cases in each group.The control group was given routine health education and guidance,and the observation group was given precise exercise combined with dietary intervention on the basis of the control group,the blood pressure,blood lipid level and risk factor level were compared between the two groups.Results Before intervention,there were no significant differences in systolic blood pressure,diastolic blood pressure,attenuating elasticity index of great arteries in diastole period(C1)and attenuating elasticity index of small arteries in diastole period(C2)between the two groups;after intervention,the systolic blood pressure and diastolic blood pressure of the two groups were lower than those before intervention,C1 and C2 were higher than those before intervention,and the systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group,C1 and C2 were higher than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in the levels of total cholesterol(TC),triglyceride(TG),high-density lipoprotein cholesterol(HDLC)and low-density lipoprotein cholesterol(LDL-C)between the two groups;after intervention,the levels of TC,TG and LDL-C of the two groups were lower than those before intervention,and the level of HDL-C was higher than that before intervention,and the levels of TC,TG and LDL-C in the observation group were lower than those in the control group,and the level of HDL-C was higher than that in the control group,the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in body mass index(BMI),fasting plasma glucose(FPG)level and waist circumference between the two groups;after intervention,the levels of BMI and FBG of the two groups were lower than those before intervention,and the waist circumference was smaller than that before intervention,and the levels of BMI and FBG in the observation group were lower than those in the control group,and the waist circumference was smaller than that in the control group,the differences were statistically significant(P<0.05).Conclusion Precision exercise combined with dietary intervention has significant effect on patients with prehypertension,which can reduce blood pressure and blood lipid levels,reduce high-risk factors,and alleviate hypertension.