高脂血症患者饮食指导与心理行为干预疗效观察

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[摘要] 目的 观察饮食指导与心理行为干预对高脂血症疗效的影响。 方法 对我校2011年9月健康体检血脂异常的46例患者给予为期8周的干预措施，包括高脂血症的健康教育、饮食指导、心理行为方式的干预，干预后复查血总胆固醇（TC）、三酰甘油（TG）、低密度脂蛋白（LDL-C）、高密度脂蛋白（HDL-C）、肝肾功能，同时测体重，与健康体检的结论相比较。 结果 血脂TC、TG、LDL-C水平干预后显著降低，差异有高度统计学意义（P ＜ 0.01），体重指数下降，差异有统计学意义（P ＜ 0.05）。 结论 治疗性生活方式改变（TLC）是高脂血症首要的基本的治疗措施[3]，只有长期坚持，改变不良的饮食习惯，养成良好生活方式，保持良好的心态，才能有效控制血脂水平，预防冠心病、心肌梗塞、脑卒中等心血管疾病的发生。

[关键词] 高脂血症；健康教育；饮食指导；心理行为方式干预

[中图分类号] R473.5 [文献标识码] C [文章编号] 1673-7210（2012）08（b）-0131-03

Observation of curative effects on dietary guidance and psychological and behavioral intervention in the treatment of patients with hyperlipidemia

HE Shaofang1 XIAO Tongming2 LI Yixiao3 LIU Ying4 LIU Zhusheng1

1.Infirmary, Zhongshan College, University of Electronic Science and Technology of China, Guangdong Province, Zhongshan 528403, China; 2.Physical Examination Center, Boai Hospital of Zhongshan City, Guangdong Province, Zhongshan 528402, China; 3.Applied Psychology Class of 2009, Guangzhou University of Traditional Chinese Medicine, Guangdong Province, Zhongshan 510006, China; 4.Office of Students' Affairs, Zhongshan College, University of Electronic Science and Technology of China, Guangdong Province, Zhongshan 528403, China

[Abstract] Objective To observe the impact of dietary guidance and psychological and behavioral intervention on the curative effects of hyperlipidemia. Methods 46 Patients diagnosed with dyslipidemia in our school in September 2011 were given 8 weeks of intervening measures, including health education on hyperlipidemia, dietary guidance, psychological and behavioral intervention. Blood total cholesterol (TC), blood triglyceride (TG), low density lipoprotein (LDL-C), high-density lipoprotein (HDL-C), liver and kidney function and body weight of the patients were measured after intervention and compared to those before intervention. Results The blood TC, TG and LDL-C levels significantly reduced after intervention, with statistically significant differences (P < 0.01); the body mass index also significantly reduced after intervention, with statistically significant differences (P < 0.05). Conclusion Therapeutic lifestyle changes (TLC) is a primary and basic treatment measure for hyperlipidemia, only through long-term perseverance, changing bad dietary habits, developing good lifestyle and maintaining good attitude, can the blood lipid level be controlled and then the occurrence of coronary heart diseases, myocardial infarction, stroke and other cardiovascular diseases be prevented.