目的 初步探讨血脂异常患者的社区规范化管理方案;评价血脂异常社区规范化管理的效果.方法 选取北京市西城区月坛社区卫生服务中心辖区内的211例血脂异常患者,随机分为干预组105例和对照组106例.干预组给予为期6个月的社区规范化管理,对照组保持原有常规干预方案.结果 干预后,干预组的不良生活方式改变优于对照组,差异有统计学意义(P＜0.05);干预组的血清总胆固醇、低密度脂蛋白胆固醇及三酰甘油水平下降,均低于对照组,差异均有统计学意义(P＜0.05).干预组的调脂治疗达标率由16.2%上升至42.9%,达标率高于对照组,差异有统计学意义(P＜0.05).结论 本研究提出的血脂异常患者的社区规范化管理方案能有效改变患者的不良生活方式,降低患者的血清总胆固醇、低密度脂蛋白胆固醇及三酰甘油水平,提高血脂异常调脂治疗的达标率.%Objective To study a standardized management plan for patients with dyslipidemia in community and to evaluate its effectiveness. Methods Totally 211 dyslipidemia patients, randomly sampled from Yuetan community health service center of Beijing Xicheng district, were divided as intervention group ( n = 105 ) and control group ( n = 106 ). The patients in the intervention group were cared with the proposed standardized management plan for 6 months; while those in the control group were cared with the conventional management solution. Results After 6 - month intervention, the changing rate of unhealthy lifestyles in the intervention group was higher than that in the control group ( P ＜ 0.05 ) ; and the levels of blood total cholesterol ( TC ), low - density lipoprotein cholesterol ( LDL - C ), and triglyceride ( TG ) were all decreased significantly as compared with those in the control group ( P ＜ 0.05 ). Moreover, the attainment rate of the standard for lipid lowing treatment in the intervention group was improved from 16.2％ to 42.9％, which is significantly higher than that in the control group ( P＜0.05 ) . Conclusion The proposed standardized management plan for patients with dyslipidemia in community can effectively change unhealthy lifestyles, decrease blood TC, LDL - C and TG lever, and improve attainment goal for lipid lowing treatment.
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