摘要
目的社区干预在颈动脉斑块伴脂代谢紊乱人群中的应用。方法选取我院2012年3月—2014年3月186例颈动脉斑块伴脂代谢患者为研究对象,将患者抽签随机分为观察组与对照组,每组93例。对照组给予基础治疗及运动生活方式指导,观察组给予基础治疗以及强化社区健康管理综合干预,观察并记录两组Crouse积分,总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平及遵医行为。结果治疗1、2年后观察组颈动脉斑块积分(3.46±2.13)cm、(3.07±2.49)cm低于对照组(4.56±2.26)cm、(4.43±2.51)cm,两组差异有统计学意义(P<0.05)。观察组治疗1年、2年后TC、TG、LDL-C水平低于对照组,HDL-C水平高于对照组,两组差异有统计学意义(P<0.05)。观察组遵医行为优于对照组(P<0.05)。结论社区健康管理综合干预能显著提高患者遵医行为,改善生活方式,从而使血脂达到正常水平,延缓颈动脉斑块发展。
Objective To study the application of community intervention in population with carotid plaque complicated with dyslipidemia. Methods 186 cases of patients with carotid plaque complicated with dyslipidemia who were admitted in our hospital from March 2012 to March 2014 were selected as the study objects and were randomly divided into the observation group and the control group according to random sampling method,with 93 cases in each group. The control group was given basic treatment and guidance of exercise lifestyle. The observation group was given basic treatment and strengthened community health management integrated intervention. The crouse integral,total cholesterol（ TC）,triglyceride（ TG）,high density lipoprotein cholesterol（ HDL-C）,low density lipoprotein cholesterol（ LDL-C） levels and treatment compliance in the two groups were observed and recorded. Results After 1 and 2 years of treatment,the carotid artery plaque score in the observation group[（ 3. 46 ± 2. 13） cm,（ 3. 07 ± 2. 49） cm]was lower than that in the control group [（ 4. 56 ± 2. 26） cm,（ 4. 43 ± 2. 51） cm]（ P 〈 0. 05）. TC,TG and LDL-C levels in the observation group were lower than those in the control group while HDL-C level was higher than that in the control group（ P 〈 0. 05）. The treatment compliance in the observation group was significantly better than that in the control group（ P 〈 0. 05）. Conclusion Community health management integrated intervention can significantly improve the treatment compliance of patients and their life style,so as to achieve the normal level of blood lipids and carotid plaque will be postponed.
出处
《广州医药》
2016年第3期64-66,共3页
Guangzhou Medical Journal
基金
广州市海珠区科技计划项目(2011-QY-03)
关键词
社区健康管理综合干预
颈动脉斑块
脂代谢紊乱
Community health management integrated intervention
Carotid plaque
Dyslipidemia
