上海医药
上海醫藥
상해의약
SHANGHAI MEDICAL & PHARMACEUTICAL JOURNAL
2015年
12期
55-56
,共2页
心肌梗死%社区康复指导%干预效果
心肌梗死%社區康複指導%榦預效果
심기경사%사구강복지도%간예효과
myocardial infarction%community rehabilitation guidance%intervention effect
目的:探讨对心肌梗死患者开展社区康复指导的干预效果。方法:选择2013年5月至2013年12月杨浦区殷行社区急性发病后1个月的心肌梗死患者100例,分为社区康复指导组50例和常规随访组50例,通过6个月的干预和临床随访,观察干预前后两组患者血压、血脂和血糖变化以及心肌梗死复发情况。结果:干预6个月后,康复指导组血脂、血压、血糖达标率分别为88%(44/50)、96%(48/50)和92%(46/50),明显高于常规随访组的40%(20/50)、76%(34/50)、76%(38/50),差异均有统计学意义(χ2=25.000、13.279、4.762,P均<0.01);康复指导组心肌梗死复发率为8%(4/50),显著低于常规随访组的36%(18/50),差异有统计学意义(χ2=11.42,P<0.05]。结论:社区康复指导对心肌梗死患者的血脂、血压和血糖控制和降低心肌梗死复发率方面明显优于常规随访干预措施。
目的:探討對心肌梗死患者開展社區康複指導的榦預效果。方法:選擇2013年5月至2013年12月楊浦區慇行社區急性髮病後1箇月的心肌梗死患者100例,分為社區康複指導組50例和常規隨訪組50例,通過6箇月的榦預和臨床隨訪,觀察榦預前後兩組患者血壓、血脂和血糖變化以及心肌梗死複髮情況。結果:榦預6箇月後,康複指導組血脂、血壓、血糖達標率分彆為88%(44/50)、96%(48/50)和92%(46/50),明顯高于常規隨訪組的40%(20/50)、76%(34/50)、76%(38/50),差異均有統計學意義(χ2=25.000、13.279、4.762,P均<0.01);康複指導組心肌梗死複髮率為8%(4/50),顯著低于常規隨訪組的36%(18/50),差異有統計學意義(χ2=11.42,P<0.05]。結論:社區康複指導對心肌梗死患者的血脂、血壓和血糖控製和降低心肌梗死複髮率方麵明顯優于常規隨訪榦預措施。
목적:탐토대심기경사환자개전사구강복지도적간예효과。방법:선택2013년5월지2013년12월양포구은행사구급성발병후1개월적심기경사환자100례,분위사구강복지도조50례화상규수방조50례,통과6개월적간예화림상수방,관찰간예전후량조환자혈압、혈지화혈당변화이급심기경사복발정황。결과:간예6개월후,강복지도조혈지、혈압、혈당체표솔분별위88%(44/50)、96%(48/50)화92%(46/50),명현고우상규수방조적40%(20/50)、76%(34/50)、76%(38/50),차이균유통계학의의(χ2=25.000、13.279、4.762,P균<0.01);강복지도조심기경사복발솔위8%(4/50),현저저우상규수방조적36%(18/50),차이유통계학의의(χ2=11.42,P<0.05]。결론:사구강복지도대심기경사환자적혈지、혈압화혈당공제화강저심기경사복발솔방면명현우우상규수방간예조시。
Objective:To explore the intervention efifcacy of the community rehabilitation guidance on the patients with myocardial infarction.Methods:In Yinghang Community, 100 patients with myocardial infarction after 1 month acute onset were chosen from May to Dec. 2013 and divided into a community rehabilitation guidance group and a routine follow-up one with 50 cases each. Through 6 months intervention and clinical following-up, the changes of the blood pressure, blood lipid and blood glucose and myocardial infarction recurrence of the patients in two groups were observed before and after the intervention. Results:The compliance rates of the blood lipid, blood pressure, and blood sugar were 88%(44/50), 96%(48/50) and 92%(46/50) of the rehabilitation guidance group, respectively, which were obviously higher than those of the follow-up group, and the differences had the statistical signiifcance (χ2=25.000,13.279,4.762, P<0.01). The recurrence rate of myocardial infarction in the rehabilitation guidance group was 8%(4/50), which was signiifcantly lower than that of the routine follow-up one 36%(18/50), and the difference had the statistical signiifcance (χ2=11.42, P<0.05).Conclusion:The community rehabilitation guidance was much better than the routine follow-up intervention method in the control of the blood lipid, blood pressure, blood glucose and reduction of the recurrence rate of myocardial infarction in the patients with myocardial infarction.