中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
34期
17-19
,共3页
代谢综合征X%危险因素%社区综合干预
代謝綜閤徵X%危險因素%社區綜閤榦預
대사종합정X%위험인소%사구종합간예
Metabolic syndrome X%Risk factors%Community intervention
目的 观察社区综合干预对代谢综合征高危人群心血管病危险因素的影响.方法 选取代谢综合征高危人群100例,按随机数字表法分为社区综合干预组(50例)与对照组(50例).社区综合干预组予以健康教育干预、健康生活习性干预、健康行为干预、药物干预等措施；对照组接受社会自然干预.两组均随访1年.评估两组人群干预前后的体质指数、腰围、血压、空腹血糖、血脂、血尿酸的变化.结果 社区综合干预组干预后进行体育锻炼、饮食控制、依从服药人数分别增加12％、16％、18％,吸烟、饮酒人数分别减少8％、6％；对照组进行体育锻炼、饮食控制、依从服药人数分别增加2％、0、4％,吸烟、饮酒人数分别减少4％、2％；社区综合干预组依从性明显高于对照组(P＜0.05).两组干预前腰围、体质指数、收缩压、舒张压、空腹血糖、总胆固醇、三酰甘油、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、血尿酸水平比较差异无统计学意义(P＞0.05).干预后两组除高密度脂蛋白胆固醇指标外,其他各指标比较差异均有统计学意义(P＜ 0.05或＜0.01).结论 社区综合干预可改善代谢综合征高危人群的肥胖、血脂紊乱,降低血压、血糖、血尿酸水平.
目的 觀察社區綜閤榦預對代謝綜閤徵高危人群心血管病危險因素的影響.方法 選取代謝綜閤徵高危人群100例,按隨機數字錶法分為社區綜閤榦預組(50例)與對照組(50例).社區綜閤榦預組予以健康教育榦預、健康生活習性榦預、健康行為榦預、藥物榦預等措施；對照組接受社會自然榦預.兩組均隨訪1年.評估兩組人群榦預前後的體質指數、腰圍、血壓、空腹血糖、血脂、血尿痠的變化.結果 社區綜閤榦預組榦預後進行體育鍛煉、飲食控製、依從服藥人數分彆增加12％、16％、18％,吸煙、飲酒人數分彆減少8％、6％；對照組進行體育鍛煉、飲食控製、依從服藥人數分彆增加2％、0、4％,吸煙、飲酒人數分彆減少4％、2％；社區綜閤榦預組依從性明顯高于對照組(P＜0.05).兩組榦預前腰圍、體質指數、收縮壓、舒張壓、空腹血糖、總膽固醇、三酰甘油、高密度脂蛋白膽固醇、低密度脂蛋白膽固醇、血尿痠水平比較差異無統計學意義(P＞0.05).榦預後兩組除高密度脂蛋白膽固醇指標外,其他各指標比較差異均有統計學意義(P＜ 0.05或＜0.01).結論 社區綜閤榦預可改善代謝綜閤徵高危人群的肥胖、血脂紊亂,降低血壓、血糖、血尿痠水平.
목적 관찰사구종합간예대대사종합정고위인군심혈관병위험인소적영향.방법 선취대사종합정고위인군100례,안수궤수자표법분위사구종합간예조(50례)여대조조(50례).사구종합간예조여이건강교육간예、건강생활습성간예、건강행위간예、약물간예등조시；대조조접수사회자연간예.량조균수방1년.평고량조인군간예전후적체질지수、요위、혈압、공복혈당、혈지、혈뇨산적변화.결과 사구종합간예조간예후진행체육단련、음식공제、의종복약인수분별증가12％、16％、18％,흡연、음주인수분별감소8％、6％；대조조진행체육단련、음식공제、의종복약인수분별증가2％、0、4％,흡연、음주인수분별감소4％、2％；사구종합간예조의종성명현고우대조조(P＜0.05).량조간예전요위、체질지수、수축압、서장압、공복혈당、총담고순、삼선감유、고밀도지단백담고순、저밀도지단백담고순、혈뇨산수평비교차이무통계학의의(P＞0.05).간예후량조제고밀도지단백담고순지표외,기타각지표비교차이균유통계학의의(P＜ 0.05혹＜0.01).결론 사구종합간예가개선대사종합정고위인군적비반、혈지문란,강저혈압、혈당、혈뇨산수평.
Objective To observe the effect of comprehensive community intervention on cardiovascular risk factors in metabolic syndrome (MS) high risk group.Methods One hundred MS high risk patients were divided into intervention group (50 patients) and control group (50 patients) by random digits table.The intervention group accepted intervention on health education,health action,health habit and individual intervention on drug.The control group accepted natural intervention.The changes of waistcircumference,body mass index (BMI),blood pressure,fasting plasma glucose (FPG),lipids and serum uric acid (UA) were observed.Results In intervention group,the number of physical exercise,alimentary control and medication compliance increased 12％,16％ and 18％,and the number of smoking and alcohol drinking decreased 8％ and 6％.But in control group,the number of physical exercise,alimentary control,medication compliance increased 2％,0 and 4％,and the number of smoking and alcohol drinking decreased 4％ and 2％.There was significant difference (P＜ 0.05).Before treatment,the level of waist circumference,BMI,systolic pressure,diastolic pressure,FPG,total cholesterol,triacylglycerol,high density lipoprotein cholesterol (HDL-C),low density lipoprotein cholesterol (LDL-C) and UA between two groups had no significant difference (P ＞ 0.05).After 1 year's intervention,except HDL-C,the level of other index had significant difference between two groups (P ＜ 0.05 or ＜ 0.01).Conclusion Comprehensive community intervention can improve the status of obesity and dyslipidemia,and reduce blood pressure,plasma glucose and UA.
