世界中医药

目的：探讨以中医体质辨识养生为特色的社区非药物干预对血压正常高值老年人群的影响。方法：240例血压正常高值老年患者随机分为干预组和对照组，干预组进行非药物干预，对照组不进行干预，每周随访2次并测血压，1年后对2组间患者进行比较。结果：干预组在知识知晓率及改善行为执行率显著高于对照组（P<0.01）；干预组的收缩压、体重指数、血清胆固醇、餐后2h血糖较对照组显著降低（P<0.05）；干预组高血压发病率30.83%，对照组为68.33%，2组高血压发病率有统计学意义（P<0.01）；干预组平和体质增加10%，对照组平和体质减少5%，无统计学意义（P>0.05）。结论：以中医体质辨识养生为特色的社区非药物干预可降低血压正常高值老年人的高血压发病率，同时还可降低体重指数、血脂、血糖等其他心血管病危险因素，干预后虽然平和体质的人数变化不具有统计学意义，但有较为明显的变化趋势，可为以后的社区临床提供参考，且需要进一步研究。

English Summary:

To investigate the impact of TCM specialized Non-drugs intervention to elderly population with critical blood pressure.Methods:240 elderly patients with borderline hypertension were randomized to the intervention group and control group. Patients in intervention group were treated with non-drugs methods while patients in control group didn’t receive any treatment. All patients were followed up and measured blood pressure twice a week. After one year， patients in different groups were compared.Results:Improvement of cognitive and behaviors in intervention group was better than that in control group significantly (P<0.01). Systolic blood pressure， BMI， total cholesterol， 2h postprandial blood glucose of intervention group were significantly lower than those of control group (P<0.05). Occurrence of hypertension in intervention group is 30.83%， while that of control group is 68. 33% (P<0.01). Normal Constitution increased by 10% in intervention group， while decreased by 5% in control group， nevertheless， the difference shows no statistical significance（P>0.05）.Conclusion:Treatment of TCM specialized non-drugs intervention can reduce morbidity of hypertension in patients with borderline hypertension， meanwhile it can also reduce other risk factors of cardiovascular disease including BMI， blood glucose， total cholesterol. TCM Constitution shows an obvious yet no statistical significant change tendency， which could be used as a reference in clinic work， and needs further research.

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