[目的]探讨健康教育对高血压人群膳食及血脂的影响。[方法]2009年5月～2010年5月在我市21个居委会中随机抽取了8个居委会,其中每个抽取20名高血压患者共计160名作为本次研究对象,按照随机数字法将160例高血压人群随机分为干预组和对照组,其中干预组进行高血压及营养知识健康教育。[结果]本研究通过主区营养宣教及膳食干预,干预组不良膳食行为有所改善。其脂肪供能比降至总热能的30%以下;胆固醇摄人量小于300mg/d:钙和视黄醇摄入量较于预前有增加趋势。血清TC较干预前有显著下降,此结果与干预组人群在干预后膳食脂肪及胆固醇摄入量减少结果相对应;除此之外,低脂饮食还可以可降低高血压人群血清LDL水平,保持血清HDL水平从而降低血压。[结论]本次宣教收到了良好效果,证明社区宣教对提高高血压人群的卫生保健水平,改变不合理的饮食习惯,调整膳食结构和合理营养,对于控制血脂,降低危险因素的发生发展具有重要的意义。但本研究的样本量较小,因此所得到的为初步结果。 [Objective] To investigate the effects of health education on diet and blood lipid in hypertensive population. [Method] From May 2009 to May 2010, 8 neighborhood committees were randomly selected from 21 neighborhood committees in our city. Each of them took 160 hypertensive patients for a total of 160 as the object of this study. According to the random number method, 160 Hypertensive patients were randomly divided into intervention group and control group. The intervention group was given health education on hypertension and nutritional knowledge. [Result] Through the nutrition education and dietary intervention in the main area, the study improved the poor dietary behaviors of the intervention group. Its fat to energy ratio dropped to less than 30% of the total heat; cholesterol intake of less than 300mg / d: calcium and retinol intake than the advance trend. Serum TC decreased significantly compared with that before intervention, which was corresponding to the decrease of dietary fat and cholesterol intake in intervention group. In addition, low-fat diet could also reduce the level of serum LDL in hypertensive population Serum HDL levels reduce blood pressure. [Conclusion] The mission received good results, demonstrating that community education is important to improve the health care level of hypertensive population, to change unreasonable diet, to adjust dietary structure and reasonable nutrition, so as to control blood fat and reduce the occurrence and development of risk factors Meaning. However, the sample size for this study was small, so the initial result was obtained.