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目的探讨社区综合干预对代谢综合征患者的效果。方法代谢综合征患者512例分为综合干预组(259例)与对照组(253例),综合干预组采取健康教育、改变生活方式、运动、督导就诊、服药等措施,对照组接受社会自然干预。每3个月两组进行代谢综合征各组分(体重指数、腰围、血压、血糖、血甘油三酯、高密度脂蛋白、总胆固醇、尿酸、Karnofsky评分)的检测至18个月,并对结果进行统计学比较。结果干预组采用综合干预措施后,到最后观察时段18个月时大部分的组分指标有所改善,干预前后的纵横向对比差异均有统计学意义,对照组除血压外各指标变化差异无统计学意义。结论社区综合干预对代谢综合征患者的疗效和生活质量有较明显改善作用,但要使血脂和肥胖得到进一步改善还需要较长时间的努力。
Objective To investigate the effect of community-based intervention on patients with metabolic syndrome. Methods A total of 512 patients with metabolic syndrome were divided into comprehensive intervention group (n = 259) and control group (n = 253). The comprehensive intervention group took health education, lifestyle change, exercise, supervision and treatment, . The metabolic syndrome components (body mass index, waist circumference, blood pressure, blood glucose, triglycerides, high density lipoprotein, total cholesterol, uric acid and Karnofsky score) were measured in every two months for 18 months The results of statistical comparison. Results After the intervention group adopted the comprehensive intervention measures, most of the component indexes improved at 18 months after the last observation period, and there was significant difference between before and after the intervention in the longitudinal and transverse directions. The differences of the indexes except the blood pressure in the control group Statistical significance. Conclusion Comprehensive community intervention can improve the curative effect and quality of life of patients with metabolic syndrome. However, it will take a long time to further improve blood lipid and obesity.