摘要
目的探讨社康中心应用体外反搏治疗高脂血症的临床效果。方法 160例高脂血症患者,按随机数字表法分为对照组和实验组,各80例。对照组采用常规方法治疗,实验组在对照组基础上采用体外反搏治疗,比较两组患者治疗前后血脂[总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)]水平及健康调查简表(SF-36)评分。结果治疗前后两组患者血脂水平比较差异无统计学意义(P>0.05)。治疗后,两组患者TC、TG、LDL-C、HDL-C均优于治疗前,差异有统计学意义(P<0.05)。治疗前两组生理功能、生理职能、精力、躯体疼痛、总体健康、社会功能、情感职能、精神健康评分比较差异无统计学意义(P>0.05);治疗后两组SF-36各维度评分高于治疗前,且实验组生理功能评分(77.3±5.7)分、生理职能评分(56.3±5.1)分、精力评分(50.7±4.0)分、躯体疼痛评分(63.6±8.7)分、总体健康评分(53.4±5.7)分、社会功能评分(55.5±8.7)分、情感职能评分(54.2±5.6)分、精神健康评分(44.4±5.7)分均高于对照组的(74.8±4.8)、(51.4±4.5)、(45.6±3.7)、(60.6±7.7)、(48.6±5.0)、(50.6±5.8)、(48.6±4.0)、(40.5±4.9)分,差异有统计学意义(P<0.05)。结论体外反搏对于改善高脂血症患者血脂水平无明显优势,但对患者生存质量的改善具有一定优势。
Objective To investigate the clinical effect of external counterpulsation in the treatment of hyperlipidemia in community health center. Methods A total of 160 patients with hyperlipidemia were divided into control group and experimental group according to the random number table method, 80 cases in each group. The control group was treated with conventional therapy, the experimental group was treated with external counterpulsation on the basis of the control group. The levels of blood lipids [total cholesterol（TC）, triglyceride（TG）, low density lipoprotein cholesterol（LDL-C） and high density lipoprotein cholesterol（HDL-C）] before and after treatment, the MOS item short from health survey（SF-36） score were compared between the two groups. Results There were no significant differences in the blood lipid level between the two groups before and after treatment（P0.05）. After treatment, the TC, TG, LDL-C, HDL-C of the two groups were significantly better than those before treatment, the differences were statistically significant（P0.05）. There were no significant differences in the physiological function, physiological function, energy, somatic pain, overall health, social function, emotional function and mental health between the two groups（P0.05）. After treatment, the all dimensions scores of SF-36 in the two groups were significantly higher than those before treatment, and the scores of physiological function, physiological function, energy, somatic pain, overall health, social function, emotional function and mental health in the experimental group were（77.3±5.7） scores,（56.3±5.1） scores,（50.7±4.0） scores,（63.6±8.7） scores,（53.4±5.7） scores,（55.5±8.7） scores,（54.2±5.6） scores and（44.4±5.7） scores respectively, which were significantly higher than（74.8±4.8） scores,（51.4±4.5） scores,（45.6±3.7） scores,（60.6±7.7） scores,（48.6± 5.0） scores,（50.6±5.8） scores,（48.6±4.0） scores and（40.5±4.9） scores in the control group, the differences were statistically significant（P0.05）. Conclusion External counterpulsation has no obvious advantage in improving blood lipid level in patients with hyperlipidemia, but it has certain advantages in improving the quality of life of patients.
作者
徐军妮
薛畅欢
赵泳
XU Jun-ni;XUE Chang-huan;ZHAO Yong(Nantian Community Health Center,The Eighth Affiliated Hospital of Sun Yat-sen University,Shenzhen 518000,China)
出处
《中国实用医药》
2018年第22期20-22,共3页
China Practical Medicine
基金
深圳市福田区卫生公益性科研项目(项目编号:FTWS20160067)
关键词
高脂血症
体外反搏
生活质量
Hyperlipidemia
External counterpulsation
Quality of life
