首页> 中文期刊> 《中国医药导报》 >社区健康管理对血脂异常的干预作用

社区健康管理对血脂异常的干预作用

         

摘要

Objective To study and analyze the intervention effect of community health management of dyslipidemia. Methods 70 cases of patients with dyslipidemia from June 2013 to June 2014 in Outpatient Department of Marshal Community Health Service Stations of Iron Camp Community Health Service Center of Beijing Fengtai District were se-lected as the research objects, they were divided into the control group and the experimental group according to the random number table. The control group (35 cases) were treated by conventional drug treatment, the experimental group (35 cases) were given the health management system on the base of the routine drug therapy, they were given 1 years follow-up, once every 3 months to monitor 1 lipids. serum total cholesterol (TC), triglyceride (TG), high density lipopro-tein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) level of patients in the two groups before and af-ter treatment were comparative analyzed. Results 12 months after the intervention, TC of the experimental group be-fore treatment [(6.24±0.89) mmol/L] down to (5.50±1.13) mmol/L (P<0.01), and the control group [(6.23±0.99) mmol/L] down to (6.04±1.12) mmol/L (P> 0.05); the experimental group was significantly lower than the control group (P<0.01). TG of the experimental group before treatment [(2.90±0.55) mmol/L] down to (2.04±1.24) mmol/L (P<0.01); and the control group [(2.84±0.61) mmol/L] down to (2.69±0.59)) mmol/L (P<0.05);the experimental group was significant-ly lower than the control group (P<0.01). HDL-C of the experimental group before treatment [(1.19±0.21)) mmol/L] up to (1.39±0.34) mmol/L (P<0.05); the control group [(1.25±0.36) mmol/L] up to (1.35±0.34) mmol/L (P< 0.05); no sta-tistically significant difference between the two groups (P> 0.05). LDL-C of the experimental group before treatment [(3.61±0.84) mmol/L] down to (3.02±0.77) mmol/L (P< 0.05); the control group [(3.56±0.75) mmol/L] down to (3.51±0.80) mmol/L (P>0.05); differences between the two groups was statistical significance (P< 0.05). Conclusion Both drug treatment combined with community health management and simple drug treatment can improve blood lipid; and effect of drug treatment combined with community health management is significantly better than the simple drug treat-ment. Intervention on the patients with abnormal blood lipid by community health management is convenient for pa-tients to correct bad habits, enhance self-protection awareness, control blood lipid indexes effectively, reduce complica-tions and adverse drug reaction, lower medical costs, improve the quality of life, has the application value and promo-tion value.%目的:探讨并分析社区健康管理对血脂异常的干预作用。方法选择2013年6月~2014年6月北京市丰台区铁营社区卫生服务中心赵公口社区卫生服务站门诊收治的70例血脂异常患者作为研究对象,依据随机数字表法分为对照组与试验组,对照组(35例)予以常规药物治疗,试验组(35例)在常规药物治疗的基础上进行系统化的健康管理,随访1年,每3个月监测1次血脂。比较分析两组患者干预前后血清总胆固醇(TC)、三酰甘油(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。结果干预12个月后,试验组TC由治疗前的(6.24±0.89)mmol/L下降到(5.50±1.13)mmol/L(P<0.01);对照组TC由治疗前的(6.23±0.99)mmol/L下降到(6.04±1.12)mmol(P跃0.05);试验组显著低于对照组(P<0.01)。试验组TG由治疗前的(2.90±0.55)mmol/L下降到(2.04±1.24)mmol/L(P<0.01);对照组TG由治疗前的(2.84±0.61)mmol/L下降到(2.69±0.59)mmol/L(P<0.05);试验组显著低于对照组(P<0.01)。试验组HDL-C由治疗前的(1.19±0.21)mmol/L上升到(1.39±0.34)mmol/L(P<0.05);对照组HDL-C由治疗前的(1.25±0.36)mmol/L上升到(1.35±0.34)mmol/L(P<0.05);两组比较,差异无统计学意义(P跃0.05)。试验组LDL-C由治疗前的(3.61±0.84)mmol/L下降到(3.02±0.77)mmol/L(P<0.05);对照组LDL-C由治疗前的(3.56±0.75)mmol/L下降到(3.51±0.80)mmol/L(P跃0.05);两组比较差异有统计学意义(P<0.05)。结论药物治疗联合社区健康管理与单纯药物治疗,均可改善血脂异常,且药物治疗与社区健康管理的效果明显优于单纯药物治疗。采取社区健康管理对血脂异常人群实施干预,便于患者纠正不良生活习惯,提高自我防护意识,有效控制血脂指标,减少并发症及药物不良反应的发生,降低医疗费用,提高生活质量,具有临床应用及推广价值。

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