CAJ | 학술논문

目的：探索建立一个基于医院体检中心的检后服务模式，并将此模式用于常见慢性非传染性疾病的健康管理。方法：将研究人群分为健康管理组和常规体检对照组。对健康管理组在常规体检的基础上，进行疾病风险评估和中医体质测评，检后进行健康管理。统计连续3年完成体检和随访的两组人群管理前后各项体检指标、生活方式、常见慢性疾病高风险比例以及医疗费用的变化。结果：干预后健康管理组人群2型糖尿病、高血压病、中风、冠心病及肺癌、肝癌、胃癌、肠癌、乳腺癌的患病高风险比例显著下降（P＜0．05）；生活方式（运动及饮食习惯、吸烟、过量饮酒）有明显改善（P＜0．05）；其中代谢综合症高危人群体重指数、收缩压、舒张压、甘油三酯、总胆固醇、低密度脂蛋白、尿酸显著降低（P＜0．05）；腰围、空腹血糖的下降和高密度脂蛋白的升高均具有显著性（P＜0．01）；管理组医疗费用控制比对照组更理想（P＜0．05）。结论：以网络为依托，采取中西医结合的方式对体检人群进行检后健康管理，可以有效降低常见慢性病的发病风险，符合费用效果和费用效益原则，可用于医院体检中心检后健康管理。
목적：탐색건립일개기우의원체검중심적검후복무모식，병장차모식용우상견만성비전염성질병적건강관리。방법：장연구인군분위건강관리조화상규체검대조조。대건강관리조재상규체검적기출상，진행질병풍험평고화중의체질측평，검후진행건강관리。통계련속3년완성체검화수방적량조인군관리전후각항체검지표、생활방식、상견만성질병고풍험비례이급의료비용적변화。결과：간예후건강관리조인군2형당뇨병、고혈압병、중풍、관심병급폐암、간암、위암、장암、유선암적환병고풍험비례현저하강（P＜0．05）；생활방식（운동급음식습관、흡연、과량음주）유명현개선（P＜0．05）；기중대사종합증고위인군체중지수、수축압、서장압、감유삼지、총담고순、저밀도지단백、뇨산현저강저（P＜0．05）；요위、공복혈당적하강화고밀도지단백적승고균구유현저성（P＜0．01）；관리조의료비용공제비대조조경이상（P＜0．05）。결론：이망락위의탁，채취중서의결합적방식대체검인군진행검후건강관리，가이유효강저상견만성병적발병풍험，부합비용효과화비용효익원칙，가용우의원체검중심검후건강관리。
Objective:To explore the establishment of a hospital medical center of after service mode, and this model for health management of common chronic non-communicable diseases. Methods:The study population was divided into health management intervention group and rou?tine group, the health management group based on routine physical examination. For assessment of the risk of disease and TCM physique, after the examination of health management. The two groups before and after the intervention of statistics for three years to complete the examination and follow-up of the physical indicators, way of life, a common chronic disease in high risk ratio and the change of medical expenses. Results:The prevalence of high risk ratio of this group of type 2 diabetes, hypertension, stroke, coronary heart disease and lung cancer, liver cancer, gastric cancer, breast cancer and health management intervention decreased significantly (P< 0. 01 or P< 0. 05 );Part of lifestyle ( exercise and diet?ary habits, smoking,Excessive drinking ) have significantly improved (P<0. 01 or P<0. 05 );The metabolic syndrome high risk population of body mass index, systolic blood pressure, diastolic blood pressure, triglyceride, total cholesterol, low density lipoprotein, uric acid significantly decreased (P<0. 05 );A significant decrease of waist circumference, fasting blood glucose and high density lipoprotein (P<0. 01 ); Medical costs three years assistance decreased significantly (P<0. 05); The intervention group medical cost control than the control group (P<0. 05) more ideal. Conclusion:In the network information platform, taking a combination of Chinese and Western Medicine on physical examination pop?ulation health management effectively reduce the risk of chronic disease, it will be fil with cost effectiveness and cost benefit principle, and be used for hospital physical examination center examination health management.