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目的 对哈尔滨市老年血压异常体检人群进行生活干预并调查其健康状态.方法 选取2016 年1 月～2017 年1 月于哈尔滨市接受体检且血压异常的老年人218 例.按照随机数字表法, 分为对照组与观察组, 各109 例.对照组发放血压异常患者健康指南, 供患者自行学习、执行; 观察组对患者进行为期6 个月的生活干预.观察两组患者干预前后健康状态评分、生活方式评分、血压水平、治疗效果.结果 观察组干预后健康状态评分 (37.28 ± 6.09 ) 分明显高于对照组 ( 28.35 ± 5.72 ) 分, P <0.05; 对照组干预后生活方式评分 (28.05 ± 4.31) 分明显低于观察组 (38.13 ± 4.28) 分, P <0.05; 观察组干预后舒张压 (78.35 ± 5.52) mmHg明显低于对照组 (82.13 ± 5.49) mmHg, 观察组干预后收缩压(125.28 ± 6.73 ) mmHg 明显低于对照组 ( 133.12 ± 6.65 ) mmHg, P < 0.05; 观察组血压总有效率88.99%明显高于对照组43.12% , P<0.05.结论 生活干预能够通过改变老年患者生活方式降低患者血压, 恢复患者健康状态.“,”Objective To investigate the health status of elderly people with abnormal blood pressure after life intervention in Harbin. Methods 218 Elderly people who underwent physical examination and suffered from abnormal blood pressure in Harbin from January 2016 to January 2017 were selected. They were divided into the control group and the observation group according to ran-dom number table. The control group accepted the handbook of high blood pressure health guidelines and the observation group re-ceived six months of life style intervention. The health status score, life style score, blood pressure level were recorded before and af-ter the intervention. Results The health status score in the observation group (37.28 ± 6.09) was significantly higher than that in the control group (28.35 ± 5.72), P<0.05. The life style score in the observation group (38.13 ± 4.28) was significantly higher than that in the control group (28.05 ± 4.31), P<0.05. The diastolic blood pressure in the observation group [ (78.35 ± 5.52) mmHg] was significantly lower than that in the control group [ (82.13 ± 5.49) mmHg] and the systolic blood pressure in the observa-tion group [ (125.28 ± 6.73) mmHg] was significantly lower than that in the control group [ (133.12 ± 6.65) mmHg], P<0.05. The overall efficacy rate of lowering blood pressure in the observation group (88.99% ) was significantly higher than that in the control group (43.12% ), P<0.05. Conclusion Life style intervention can reduce elevated blood pressure and restore health status in elderly patients with abnormal blood pressure.