摘要
目的对老年人生活方式及血脂水平进行干预,提高血脂控制达标率,减少心血管事件的发生。方法于2002～2006年我们对辖区内1281例离退休老干部的生活方式、血脂水平进行了综合干预;2007～2010年又对其中的462例继续进行常规干预。结果与基线时比较,综合干预期末该人群的吸烟、饮酒率分别下降了55.3%和35.4%,体质量指数正常者、摄盐喜淡者分别提高了27.8%和39.1%(P<0.01);总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)均值分别下降了18.4%、29.1%和9.4%(P<0.01),三酰甘油(TG)下降了10.8%(P<0.05);TC、LDL-C、TG达标率分别提高了126.0%、193.4%和12.3%(P<0.01),HDL-C达标率下降了11.9%(P<0.01);他汀类药物服用率提高了181.6%,贝特类药物服用率提高了158.3%(P<0.01)。与综合干预期末比较,常规干预期末摄盐喜咸者又减少了24.2%,HDL-C水平下降了5.2%,TG升高了14.8%(P<0.05),TC、LDL-C水平无明显变化(P>0.05)。结论综合干预能使老年人的生活方式发生明显变化,有效降低血脂水平,形成良好的生活习性与治疗依从性,并在常规干预期内较好地保持。
Objective To improve the control rate of lipid and to decrease the incidence of the cardiovascular disease through intervening the lifestyle. Methods The comprehensive intervention on lifestyle and cholesterol levels in 1281 retired old officer was conducted from 2002 to 2006,and 462 subjects continued to receive routine intervention for added four years. Results Compared with the baseline levels,the rate of smoking and drinking was reduced by 55.3% and 35.4% respectively, and the rate of normal BMI and low level of intake of salt(≤6 g/d) was increased by 27.8% and 39.1% (P<0.01) respectively. The levels of TC,LDL-C and HDL-C were reduced by 18.4%,29.1%,and 9.4% (P<0.01),respectively. The level of TG was reduced by 10.8% (P<0.05). The control rate of TC,LDL-C,and TG was increased by 126.0%,193.4%,and 12.3% (P<0.01),respectively.The taking rate of statin and fenofibrate was increased by 181.6% and 158.3% (P<0.01) in the end of comprehensive intervention, respectively. Compared with the levels at the end of comprehensive intervention, the rate of low level of intake of salt (>6 g/d) was reduced by 24.2% (P<0.05), and the level of HDL-C was reduced by 5.2% (P<0.05), and the level of TG was increased by 14.8% in the end of routine intervention (P<0.05). The levels of TC and LDL-C showed no significant difference (P>0.05). Conclusions The comprehensive intervention can change the lifestyle and reduce the levels of lipid significantly in the elderly, and the health lifestyle can be kept up in the routine intervention term.
出处
《实用老年医学》
CAS
2013年第1期19-21,25,共4页
Practical Geriatrics
基金
总后卫生部保健局资助课题(B2000)
关键词
老年人
生活方式干预
药物干预
血脂
达标率
aged
lifestyle intervention
medication intervention
lipid
control rate
