CAJ | 학술논문

目的健康管理的实施，对离退休人群心血管危险因素的干预效果。方法选取2009年-2011年在我院老干部门诊进行健康体检的离退休人群(年龄≥60岁)170名，随机分成对照组和观察组，对照组未进行管理，观察组进行为期2年的健康管理，观察研究对象腰围、BMI、血压、血脂、空腹血糖、糖化血红蛋白、急性心脑血管事件发生的情况。结果健康管理1年后，SBP和DBP在观察组与对照组间有统计学差异（P<0.05）；管理2年后，除腰围以外的八项指标在时相上均有统计学差异（P<0.05）；急性心血管事件发生情况两组相比无统计学差异（P>0.05），但观察组的发生率相比对照组降低效果更明显。结论健康管理的实施，可有效降低离退休人群心血管危险因素的风险，降低急性心血管事件的发生率，提高慢病管理的效果。
목적건강관리적실시，대리퇴휴인군심혈관위험인소적간예효과。방법선취2009년-2011년재아원로간부문진진행건강체검적리퇴휴인군(년령≥60세)170명，수궤분성대조조화관찰조，대조조미진행관리，관찰조진행위기2년적건강관리，관찰연구대상요위、BMI、혈압、혈지、공복혈당、당화혈홍단백、급성심뇌혈관사건발생적정황。결과건강관리1년후，SBP화DBP재관찰조여대조조간유통계학차이（P<0.05）；관리2년후，제요위이외적팔항지표재시상상균유통계학차이（P<0.05）；급성심혈관사건발생정황량조상비무통계학차이（P>0.05），단관찰조적발생솔상비대조조강저효과경명현。결론건강관리적실시，가유효강저리퇴휴인군심혈관위험인소적풍험，강저급성심혈관사건적발생솔，제고만병관리적효과。
Objective To evaluate the effectiveness of health management on cardiovascular risk factors of retired people. Methods 170 retirees aged 65 or over who received health examination in our hospital during 2009 to 2011 were randomly divided into observation and control group. The observation group received two years' health care management service while the control group did not. The abdominal girth, BMI (Body Mass Index), blood pressure, blood lipids, FPG (Fasting Plasma Glucose), glycosylated hemoglobin, probability of acute cardiovascular events were recorded for the both groups. Results Significant difference was found in SBP and DBP between the two groups after one year (p<0.05);The difference in eight indexes except abdominal girth was significant after two years (p<0.05);Though there is no significant difference on acute cardiovascular events (p>0.05), the incidence rate in observation group reduced more significantly than control group. Conclusion The implementation of health management can effectively decrease the impact of cardiovascular risk factors, reduce the occurrence of acute cardiovascular events and improve the effectiveness of chronic disease management.