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社区干预在颈动脉斑块伴脂代谢紊乱人群中的应用

Application of community intervention in population with carotid plaque complicated with dyslipidemia

来源期刊: 广州医药 | 64-65 发布时间:2021-11-30 收稿时间:2025/11/13 17:01:15 阅读量:21
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关键词:
社区健康管理综合干预颈动脉斑块脂代谢紊乱
Community health management integrated interventionCarotid plaqueDyslipidemia
DOI:
10.3969/j.issn.1000-8535.2016.03.023
收稿时间:
2016-02-17 
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目的 社区干预在颈动脉斑块伴脂代谢紊乱人群中的应用。方法 选取我院2012年3月—2014年3月186例颈动脉斑块伴脂代谢患者为研究对象,将患者抽签随机分为观察组与对照组,每组93例。对照组给予基础治疗及运动生活方式指导,观察组给予基础治疗以及强化社区健康管理综合干预,观察并记录两组Crouse积分,总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C )水平及遵医行为。结果 治疗1、2年后观察组颈动脉斑块积分(3.46±2.13)cm、(3.07±2.49)cm低于对照组(4.56±2.26)cm、(4.43±2.51)cm,两组差异有统计学意义(P<0.05)。观察组治疗1年、2年后TC、TG、LDL-C水平低于对照组,HDL-C水平高于对照组,两组差异有统计学意义(P<0.05)。观察组遵医行为优于对照组(P<0.05)。结论 社区健康管理综合干预能显著提高患者遵医行为,改善生活方式,从而使血脂达到正常水平,延缓颈动脉斑块发展。
Objective To study the application of community intervention in population with carotid plaque complicated with dyslipidemia. Methods 186 cases of patients with carotid plaque complicated with dyslipidemia who were admitted in our hospital from March 2012 to March 2014 were selected as the study objects and were randomly divided into the observation group and the control group according to random sampling method, with 93 cases in each group. The control group was given basic treatment and guidance of exercise lifestyle. The observation group was given basic treatment and strengthened community health management integrated intervention. The crouse integral, total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) levels and treatment compliance in the two groups were observed and recorded. Results After 1 and 2 years of treatment, the carotid artery plaque score in the observation group [(3.46±2.13) cm, (3.07±2.49) cm] was lower than that in the control group [(4.56± 2.26) cm, (4.43±2.51) cm](P<0.05). TC, TG and LDL-C levels in the observation group were lower than those in the control group while HDL-C level was higher than that in the control group (P<0.05). The treatment compliance in the observation group was significantly better than that in the control group (P<0.05). Conclusion Community health management integrated intervention can significantly improve the treatment compliance of patientsand their life style, so as to achieve the normal level of blood lipids and carotid plaque will be postponed.
1、 陆亚琴,由天辉,周玉兰,等.个体化健康教育对伴颈动脉斑块形成的社区“三高”患者的干预效果[J]. 实用医学杂志,2012,28(17):2960-2962. 陆亚琴,由天辉,周玉兰,等.个体化健康教育对伴颈动脉斑块形成的社区“三高”患者的干预效果[J]. 实用医学杂志,2012,28(17):2960-2962.
2、 张瑞红,董秀娟,吴超,等.社区干预对农村脑卒中患者日常生活能力和生活满意度的影响[J]. 护理学报,2012,19(1):67-70. 张瑞红,董秀娟,吴超,等.社区干预对农村脑卒中患者日常生活能力和生活满意度的影响[J]. 护理学报,2012,19(1):67-70.
3、 陈志君,邓政伟,林党新,等.农村社区葡萄糖耐量异常患者的综合干预研究[J]. 广州医药,2014,45(6):64-66. 陈志君,邓政伟,林党新,等.农村社区葡萄糖耐量异常患者的综合干预研究[J]. 广州医药,2014,45(6):64-66.
4、 温金葵,罗秋平.80例冠心病患者社区护理干预的疗效观察[J]. 广州医药,2014,45(2):83-84. 温金葵,罗秋平.80例冠心病患者社区护理干预的疗效观察[J]. 广州医药,2014,45(2):83-84.
5、 CROUSE JR,HARPOLD GH,KAHL FR,et al. Evaluation of a scoring system for extracranial carotid atherosclerosis extent with B-mode ultrasound[J]. Stroke,1986,17(2):270-275. CROUSE JR,HARPOLD GH,KAHL FR,et al. Evaluation of a scoring system for extracranial carotid atherosclerosis extent with B-mode ultrasound[J]. Stroke,1986,17(2):270-275.
6、 王志会,王雪燕,韩嫣,等.类风湿关节炎患者早发动脉粥样硬化的脂代谢紊乱与内皮细胞功能异常初步探讨[J].临床荟萃,2013,28(6):610-612,616. 王志会,王雪燕,韩嫣,等.类风湿关节炎患者早发动脉粥样硬化的脂代谢紊乱与内皮细胞功能异常初步探讨[J].临床荟萃,2013,28(6):610-612,616.
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