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目的观察劳务工1级原发性高血压非药物治疗效果,分析单独采用非药物治疗与药物治疗的疗效差异。方法选择100例初诊且无靶器官损害的劳务工1级高血压患者,随机分为二组,A组50例,给予非药物治疗,包括限盐、戒烟酒、减重、适当运动,控制超时加班,改善饮食结构;B组给予硝苯地平缓释片(圣通平)10mg,2次/d,观察二组患者血压变化。结果给予非药物治疗2个月收缩压和舒张压分别下降6.2%和3.8%,降压总有效率48%。药物治疗组收缩压和舒张压下降8.6%和4.5%,降压总有效率64%,二组相比无显著性差异。在非药物治疗中,限盐和适量运动与血压下降呈正相关,长期超时加班和工作紧张与血压下降呈负相关。结论对于劳务工1级原发性高血压,早期单独给予健康干预和生活方式改善的非药物治疗可使血压下降,半数患者血压可降至正常范围,与单独降压药圣通平治疗效果相似。
Objective To observe the effect of non-drug treatment of primary hypertension in labor service workers and to analyze the difference of curative effect between non-drug treatment and drug treatment alone. Methods 100 cases of newly diagnosed first grade hypertension patients without target organ damage were randomly divided into two groups. Group A (50 cases) received non-drug treatment including salt restriction, smoking cessation, weight loss, appropriate exercise, control overtime Overtime and improve diet structure; B group was given nifedipine sustained-release tablets (St. Tongping) 10mg, 2 times / d, observed two groups of patients with changes in blood pressure. Results Non-drug treatment for 2 months, systolic and diastolic blood pressure decreased by 6.2% and 3.8%, respectively, the total effective rate of 48%. The systolic blood pressure and diastolic blood pressure decreased by 8.6% and 4.5% respectively in the drug-treated group, and the total effective rate of blood pressure reduction was 64%. There was no significant difference between the two groups. In non-drug treatment, salt restriction and moderate exercise were positively correlated with the decline of blood pressure. Long-term overtime overtime and work stress were negatively correlated with the decrease of blood pressure. Conclusions For labor-class 1 essential hypertension, early non-drug treatment given early health intervention alone and lifestyle improvement can reduce blood pressure and blood pressure in half of patients can be reduced to the normal range, which is similar to that of single antihypertensive drug Shengtongping .