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目的:通过对冠心病患者相关危险因素的社区综合干预,探讨社区干预的临床意义。方法:将入组的冠心病患者随机分为对照组和干预组,干预组通过定期宣教,针对不同的个体制定相应的干预计划(包括改善生活方式、控制饮食、戒烟、适量运动等);对照组仅作定期随访,观察比较两组患者2年内不良生活方式的改变情况,体重、血压、空腹血糖、血清总胆固醇、甘油三酯、低密度脂蛋白等的控制情况及急性冠脉事件的发生率。结果:实施社区综合干预2年后干预组的体育锻炼、合理膳食、遵从医嘱、戒烟等行为形成率显著优于对照组,除体重指数外,血压、血糖、甘油三酯、胆固醇水平均低于对照组,急性冠脉事件发生率为16.67%,优于对照组的25.40%。结论:通过社区综合干预可以有效地控制冠心病危险因素,减少急性冠脉事件的发生率,提高生活质量。
Objective: To explore the clinical significance of community intervention through community-based intervention of risk factors related to coronary heart disease. Methods: The patients with coronary heart disease were randomly divided into control group and intervention group. The intervention group made intervention plans (including improvement of life style, diet control, smoking cessation, moderate exercise, etc.) according to different individuals through regular missionary education. The patients were followed up only for a period of 2 years. The changes of adverse lifestyles, the control of body weight, blood pressure, fasting blood glucose, serum total cholesterol, triglyceride and low density lipoprotein, and the incidence of acute coronary events rate. Results: After 2 years of community-based intervention, the incidence of physical activity, reasonable diet, compliance with doctor’s advice and smoking cessation in the intervention group were significantly better than those in the control group. Except body mass index, the blood pressure, blood glucose, triglyceride and cholesterol levels were lower Control group, the incidence of acute coronary events was 16.67%, better than the control group, 25.40%. Conclusion: Comprehensive intervention in community can effectively control the risk factors of coronary heart disease, reduce the incidence of acute coronary events and improve the quality of life.