论文部分内容阅读
目的:探讨生活方式的干预对高血压患者代谢及动脉血管功能的影响。方法对我院自2011年1月至2013年12月期间门诊的高血压病志愿者进行生活方式的干预,1~2年后随访,监测干预治疗前后的收缩压( systolic blood pressure,SBP)、舒张压( diastolic blood pressure,DBP)、体重、心率、生化指标(包括血糖、血脂、肾功)和血管功能检测,血管功能主要项目包括心踝血管指数( cardio-ankle vascular Index,CAVI),踝臂指数( ankle brachial index,ABI)。结果经生活方式干预治疗后,血压、血糖均明显下降,差异有统计学意义( P<0.05)。血脂、体重、心率、肾功无明显变化。动脉血管功能的检测中,ABI升高,CAVI下降,差异有统计学意义(P<0.05)。结论生活方式的干预治疗是高血压治疗的基础,可改善代谢紊乱及血管功能。“,”Objective To explore the comparison of metabolism and the vascular function on patients with high blood pressure by way of lifestyle change. Methods The hypertensive volunteers from January 2011 to December 2013 years of outpa-tients who were given non-drug treatment( lifestyle intervention) about 1 to 2 years follow-up,monitoring these index before and af-ter the lifestyle intervention:Systolic blood pressure( SBP) ,Diastolic blood pressure( DBP) ,body weight,heart rate and biochemi-cal indicators,including blood lipid,renal function and vascular function,which including heart ankle vascular index( cardio-ankle vascular index,CAVI) ,ankle arm index( ankle brachial index,ABI) . Results According to the statistical analysis of the above in-dexes before and after the intervention,the results showed that after treatment with lifestyle intervention,blood pressure decreased obviously(P<0. 05),blood glucose decreased significantly(P<0. 05),blood lipid decreased,but without statistical significance, body weight,heart rate,renal function has no obvious change. But after lifestyle intervention therapy,the vascular function index shows ABI were decreased(P<0. 05),there is a decrease in the CAVI(P<0. 05). Conclusion Lifestyle intervention is the ele-mentary treatment of high blood pressure,can improve metabolic disorder and vascular function.