青年正常高值血压人群生活方式干预效果评价

目的评价正常高值血压人群生活方式干预的临床效果。方法纳入2010年5月～2010年10月正常高值青年人群（18岁～44岁）100例[血压为（120～139）/（80～89）mmHg]。将其随机分为干预组（n=50）与对照组（n=50）,对干预组进行2年的生活方式干预,包括健康教育、饮食、运动、心理等方面的干预指导;并对实施前后血压、血脂、体重指数、疾病认知进行对比。结果通过2年生活方式干预后,干预组血压、体重下降明显,疾病认知率明显提高。2年后,干预组较对照组平均收缩压下降了15.6mmHg、舒张压下降5.4mmHg,与对照组相比差异均有统计学意义（P〈0.05）。结论对正常高值血压人群实施生活方式干预,可有效降低血压差异及高血压危险因素。

Results of life style intervention in young group of high-normal blood pressure

Objective To review the results of life style intervention in people group of high-normal blood pressure.Methods The young people（n =100,aged from 18 to 44）with high-normal blood pressure [（120-139）/（80-90）mmHg] were selected from May,2010 to Oct.2010,and then randomly divided into intervention group（n =50）and control group（n =50）.The intervention group was given life style intervention for 2 years including health education and intervention of diet,sport and psychology.The changes of blood pressure,blood fat,body mass index（BMI）and disease cognition were compared before and after the intervention.Results In intervention group,blood pressure and BMI decreased significantly and disease cognition increased significantly through life style intervention for 2 years.After 2 years,systolic blood pressure decreased by 15.6 mmHg and diastolic blood pressure decreased by 5.4 mmHg in intervention group compared with control group（P〈0.05）.Conclusion The life style intervention in people group of high-normal blood pressure can effectively reduce blood pressure difference and risk factors of hypertension.