中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
4期
415-418
,共4页
冠心病%综合干预%社区%效果
冠心病%綜閤榦預%社區%效果
관심병%종합간예%사구%효과
Coronary disease%Comprehensive intervention%Community%Effectiveness
目的 初步探讨社区综合干预措施对冠心病患者发作症状、药物服用率及消耗量、血糖和血脂等指标及生活方式的影响.方法 选取社区冠心病患者8 075例,随机分为干预组4 077例、对照组3 998例.干预组给予3个月的社区综合干预,包括健康教育、饮食、运动及药物干预,对照组维持原有的治疗方案及常规的冠心病相关知识教育.结果 干预3个月后,两组发作症状的发作次数较干预前均有所减少(P＜0.05),但干预组发作次数的减少幅度大于对照组,差异有统计学意义(P＜0.05).干预组干预后消心痛或硝酸甘油服用率降低、一周消耗量减少,且消耗量降低幅度大于对照组,差异有统计学意义(P＜0.05);干预后两组麝香保心丸一周消耗量均有所减少,干预组消耗量的降低幅度大于对照组,差异有统计学意义(P＜0.05).干预组干预后三酰甘油水平较干预前降低,也低于干预后对照组,差异有统计学意义(P＜0.05);干预组干预后高密度脂蛋白水平高于对照组,差异有统计学意义(P＜0.05);干预组空腹血糖、总胆固醇及三酰甘油水平均降低(P＜0.05),而对照组空腹血糖及三酰甘油水平无明显变化,差异无统计学意义(P＞0.05).干预组不饮酒和不吸烟的比例均上升,差异有统计学意义(P＜0.05).结论 社区综合干预可以降低冠心病患者的药物服用率和消耗量,改善症状、代谢指标和生活方式.
目的 初步探討社區綜閤榦預措施對冠心病患者髮作癥狀、藥物服用率及消耗量、血糖和血脂等指標及生活方式的影響.方法 選取社區冠心病患者8 075例,隨機分為榦預組4 077例、對照組3 998例.榦預組給予3箇月的社區綜閤榦預,包括健康教育、飲食、運動及藥物榦預,對照組維持原有的治療方案及常規的冠心病相關知識教育.結果 榦預3箇月後,兩組髮作癥狀的髮作次數較榦預前均有所減少(P＜0.05),但榦預組髮作次數的減少幅度大于對照組,差異有統計學意義(P＜0.05).榦預組榦預後消心痛或硝痠甘油服用率降低、一週消耗量減少,且消耗量降低幅度大于對照組,差異有統計學意義(P＜0.05);榦預後兩組麝香保心汍一週消耗量均有所減少,榦預組消耗量的降低幅度大于對照組,差異有統計學意義(P＜0.05).榦預組榦預後三酰甘油水平較榦預前降低,也低于榦預後對照組,差異有統計學意義(P＜0.05);榦預組榦預後高密度脂蛋白水平高于對照組,差異有統計學意義(P＜0.05);榦預組空腹血糖、總膽固醇及三酰甘油水平均降低(P＜0.05),而對照組空腹血糖及三酰甘油水平無明顯變化,差異無統計學意義(P＞0.05).榦預組不飲酒和不吸煙的比例均上升,差異有統計學意義(P＜0.05).結論 社區綜閤榦預可以降低冠心病患者的藥物服用率和消耗量,改善癥狀、代謝指標和生活方式.
목적 초보탐토사구종합간예조시대관심병환자발작증상、약물복용솔급소모량、혈당화혈지등지표급생활방식적영향.방법 선취사구관심병환자8 075례,수궤분위간예조4 077례、대조조3 998례.간예조급여3개월적사구종합간예,포괄건강교육、음식、운동급약물간예,대조조유지원유적치료방안급상규적관심병상관지식교육.결과 간예3개월후,량조발작증상적발작차수교간예전균유소감소(P＜0.05),단간예조발작차수적감소폭도대우대조조,차이유통계학의의(P＜0.05).간예조간예후소심통혹초산감유복용솔강저、일주소모량감소,차소모량강저폭도대우대조조,차이유통계학의의(P＜0.05);간예후량조사향보심환일주소모량균유소감소,간예조소모량적강저폭도대우대조조,차이유통계학의의(P＜0.05).간예조간예후삼선감유수평교간예전강저,야저우간예후대조조,차이유통계학의의(P＜0.05);간예조간예후고밀도지단백수평고우대조조,차이유통계학의의(P＜0.05);간예조공복혈당、총담고순급삼선감유수평균강저(P＜0.05),이대조조공복혈당급삼선감유수평무명현변화,차이무통계학의의(P＞0.05).간예조불음주화불흡연적비례균상승,차이유통계학의의(P＜0.05).결론 사구종합간예가이강저관심병환자적약물복용솔화소모량,개선증상、대사지표화생활방식.
Objective To explore the effects of comprehensive community intervention on symptoms,drug-use rate and drug consumption,blood glucose,blood lipid and lifestyle of patients with coronary heart disease (CHD).Methods Totally 8 075 CHD patients were randomized into two groups:trial group (n=4 077) and control group (n=3 988). The patients in the trial group were given 3-month intervention on health education,diet,exercise and drug;while those in the control group were given conventional treatment and education on relative knowledge of CHD.Results After 3-month intervention,the attack times in the two groups decreased (P＜0.05),and the decreased magnitude was higher in the trial group than that in the control group (P＜0.05). The usage rate and the dosage in one week of isosorbide dinitrate or nitroglycerin were decreased in the trial group,and the magnitude of latter was higher than that in the control group (P＜0.05). The dosage of Baoxin Pills in one week was decreased more in the trial group than in the control group (P＜0.05). In the trial group the levels of triglyceride,total cholesterol and fasting blood glucose decreased,the level of high density lipoprotein-cholesterol increased (P＜0.05),which showed significant differences as compared with those in the control group (P＜0.05);while in the control group the levels of fasting blood glucose and triglyceride changed insignificantly (P＞0.05). Also the ratios of quitting smoking and alcohol in the trial group increased (P＜0.05).Conclusion Comprehensive community intervention can decrease the drug-use rate and drug consumption,improve symptoms,metabolic indexes and lifestyle in patients with coronary heart disease.
