作　　者： (郭晓倩）;

机构地区： 江苏省中医院,南京21002

出　　处： 《中西医结合心脑血管病杂志》 2017年第16期1989-1992,共4页

摘　　要： 目的观察中医治未病健康管理对高血压前期人群进行干预的临床效果。方法将140例高血压前期病人随机分为观察组和对照组。观察组采用中医治未病健康管理模式进行干预,对照组采用常规体检方式体检和干预。观察两组病人干预前后收缩压、舒张压及脉压和生活质量变化,全自动血生化分析仪检测三酰甘油(TG)、血清总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)及高密度脂蛋白胆固醇(HDL-C)变化,血黏度分析仪检测全血黏度、血浆黏度、血细胞比容及红细胞聚集指数等血液流变学指标。结果干预后,观察组收缩压、舒张压及脉压均低于对照组(P<0.05);观察组病人情绪功能、认知功能、角色功能、躯体功能、社会功能等生活质量评分高于对照组(P<0.05);观察组TG、TC及LDL-C低于对照组,HDL-C高于对照组(P<0.05);观察组全血黏度、血浆黏度、血细胞比容及红细胞聚集指数低于对照组(P<0.05);观察组病人可信度、满意度以及个性化调养方案的可操作性及症状改善效果的评分均高于对照组(P<0.05)。结论中医治未病健康管理能有效控制高血压前期病人的血压,提高生活质量,改善血脂和血液流变学指标。 Objective To observe the clinical effect of traditional Chinese medicine（TCM）preventive treatment theory in the treatment of prehypertension.Methods One hundred and forty patients with prehypertension were randomly divided into were randomly divided into two groups：control group treated with conventional medical check-up and intervention,and observation group treated with the health management of TCM preventive treatment theory.The average systolic pressure,diastolic pressure and pulse pressure,the quality of life were observed.The levels of blood triglyceride（TG）,serum total cholesterol（TC）,low density lipoprotein（LDL-C）and high-density lipoprotein（HDL-C）were tested by automatic biochemical analyzer.The whole blood viscosity,plasma viscosity,erythrocyte deposited and blood rheology indexes were tested by blood viscosity analyzer.Results The average systolic pressure,diastolic pressure and pulse pressure in observation group were lower than the control group（P〈0.05）.The scores of emotional function,cognitive function,role function,physical function,and social function in observation group were higher than that in control group（P〈0.05）.The levels of TG,TC and LDL-C in observation group were lower than that in control group,and the HDLC in observation group was higher than that in control group（P〈0.05）.The whole blood viscosity,plasma viscosity,erythrocyte deposited and erythrocyte aggregation index in observation group were lower than the control group（P〈0.05）.The scores of credibility,satisflaction,and individualized rehabilitation plan maneuverability and symptoms improve in observation group were higher than that in control group（P〈0.05）.Conclusion The health management of TCM preventive treatment theory can effectively control early blood pressure,improve the quality of life,improve the blood lipid and blood rheology indexes in patients with prehypertension.

关 键 词： 高血压前期 治未病 健康管理 生活质量 血脂 血液流变学