Marley J, Davis N, Joy M
Department of Cardiology, St Peter's District Hospital, Chertsey, Surrey.
J R Soc Med. 1991 Sep;84(9):540-1. doi: 10.1177/014107689108400912.
Non-pharmacological techniques in the management of hypertension have been shown to be beneficial. This pilot study was set up to examine how often routine advice was given with respect to weight reduction and/or lifestyle adjustments, and whether it was needed. Three-quarters of the 69 patients in the study smoked or were overweight but only half of the smokers recalled advice to stop. One-fifth of the patients were apparently not told to lose weight. Only one-third recalled being told to reduce alcohol intake. Lifestyle counselling and the management of hypertension in this small study appeared to be not completely effective for various reasons. It is likely to be cheaper and more satisfactory than medication alone or as an adjunct and its application deserves further study.
已证明非药物技术在高血压管理中有益。开展这项试点研究是为了调查关于减重和/或生活方式调整的常规建议给出的频率，以及是否有必要给出此类建议。该研究中的69名患者中有四分之三吸烟或超重，但只有一半吸烟者记得被建议戒烟。五分之一的患者显然未被告知要减重。只有三分之一的患者记得被告知要减少酒精摄入量。在这项小型研究中，生活方式咨询和高血压管理由于各种原因似乎并不完全有效。它可能比单独使用药物或作为辅助手段更便宜且更令人满意，其应用值得进一步研究。
