【摘 要】目的 观察营养联合运动治疗高脂血症患者的降脂效果。方法 采用随机、对照研究，选择64例高脂血症患者，随机分为试验组及对照组，每组各32例。试验组按照营养师的要求进行饮食和运动，对照组自行控制，观察期为8周。在治疗前后分别测总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)及高密度脂蛋白胆固醇(HDL-C)。结果 与对照组比较，试验组总能量、总蛋白、总脂肪、细粮、动物蛋白质和动物脂肪的摄入均明显减少，而大豆蛋白和果蔬的摄入则显著增多。经过8周饮食联合运动的干预治疗，试验组TG、TC和LDL-C均降低，而HDL-C升高，差异有统计学意义(P<0.05)；而对照组上述指标的变化均无统计学意义。结论 营养联合运动治疗能够显著地改善高脂血症患者的血脂状况。

    【关键词】 营养；运动；高脂血症

    【Abstract】 Objective To study the lipid-lowering effect of nutrition combined with exercise in patients with hyperlipidemia. Methods 64 patients with hyperlipidemia were divided randomly into test group and control group (n=32). The diet and exercise in patients in test group were arranged by the nutrients and the control group was dominated by themselves. Total cholesterol (TC), triglycerides (TG), low density lipoprotein (LDL) and high-density lipoprotein (HDL) were measured before study and at 8th day after study. Results Compared with control group, total energy, coarse grain, total protein, total fat, animal protein and animal fat were less and soy protein vegetables and fruit were more in test group. After treatment, TC、TG and LDL were decreased (P<0.05) and HDL were increased (P<0.05)significantly in test group；there was no significant change in the above indicators in control group (P>0.05).Conclusion The blood lipids level in patients with hyperlipidemia could be improved significantly by the therapy of nutrition combined with exercise. ......