摘要
目的探讨治疗性生活方式改变在轻中度血脂异常人群中的作用。方法将90例体检中发现血脂异常的患者随机分为观察组和对照组,每组45例。对观察组进行治疗性生活方式改变干预,对照组未进行干预,随访6个月,复查血脂。结果干预后观察组不合理饮食、缺乏运动、超重情况与干预前比较有明显改善,干预前后膳食评价得分分别为4.86±0.93和2.88±0.84,差异有统计学意义(P<0.05);干预后观察组与对照组膳食评价得分差异亦有统计学意义[(2.88±0.84)vs.(5.36±0.39),P<0.05]。观察组干预后与干预前比较,甘油三酯[(1.65±1.01)mmol/Lvs.(2.32±1.49)mmol/L]、总胆固醇[(5.32±1.13)mmol/Lvs.(6.09±0.87)mmol/L]、低密度脂蛋白胆固醇[(3.53±0.29)mmol/Lvs.(4.83±0.84)mmol/L]均显著降低(P均<0.05);高密度脂蛋白胆固醇[(1.46±0.17)mmol/Lvs.(1.54±0.34)mmol/L]无显著变化(P﹥0.05)。结论治疗性生活方式改变能显著改善轻中度血脂异常患者的饮食结构,帮助患者建立健康的生活方式,是一种简单、有效、低风险的调节血脂基础措施。
Objective To observe the effect of therapeutic life-style change for patients with dyslipidemia. Meth- ods Nintey patients with dyslipidemia, discovered in the physical examination, were divided into observational group and control group randomly. The treatment of therapeutic life-style change on the observational group were carried out, but not in the control group. Within 6 months follow-up, blood lipid levels were measured to check whether it reached the tar- get level. Result Unbalanced diet, lack of exercise and overweight in the observational group were significantly improved after the intervention, and the level of TG, TC, LDL-C were significantly reduced （P 〈0.05） while the change of HDL-C had no statistical significant difference. Conclusion Therapeutic life-style change can significantly improve the diet of patients, help patients to establish a healthy lifestyle, and it is a simple, effective, low-risk measure for dyslipidemia.
出处
《北京医学》
CAS
2012年第11期959-961,共3页
Beijing Medical Journal
