社区健康干预对脑卒中前期自创性危险因素人群预后的影响

Community Health Management of Stroke Risk Factors for Pre-own Crowd of Prognosis

目的通过对自创性健康危险因素的行为进行健康干预管理,分析其在脑卒中前期人群中的影响。方法将社区居民健康体检中符合脑卒中前期诊断的896例随机分组,其中管理组450例,对照组446例。管理组实行健康管理,包括脑卒中预防知识讲座,指导其合理膳食,保持正常体质量,避免超重与肥胖。适量运动,保持心理平衡等健康生活方式。并建立个人健康档案,定期监测血压、血糖,进行跟踪随访管理。对照组仅告知有高血压或存在脑卒中的危险因素,不做任何预防措施。比较3个月、6个月后,管理组与对照组脑卒中前期转归及脑卒中发生的情况。结果实施健康管理措施3个月后,管理组与对照组血压恢复正常的人数差异无统计学意义(P>0.05),转为脑卒中的人数差异也无统计学意义(P>0.05);实施干预措施6个月后,两组血压恢复正常的人数差异有统计学意义(P<0.01),但转为显性脑卒中的人数差异无统计学意义(P>0.05)。结论对脑卒中前期人群进行自创性危险因素健康管理,可有效预防或延缓脑卒中发生,提高生活质量。

Objective To create their own sexual health through the conduct of risk factors for health management, analysis of their pre - stroke population in the impact. Methods In healthy community residents in line with the early diagnosis of stroke were divided into 386 eases, 193 eases of which the management group, 193 eases of the control group. Management Unit to implement the health management, including knowledge of stroke prevention seminars reasonable diet, maintain normal body weight, avoiding overweight and obesity. Regular exercise, maintaining a healthy lifestyle, such as psychological balance. And the establishment of personal health files, regular monitoring of blood pressure, blood sugar, to carry out follow - up management. Control group, only the existence of this have high blood pressure or stroke risk factors, preventive measures will not do anything. Comparison of 3 months, 6 months later, the management group and control group pre - vesting and post - stroke stroke happened. Results The results of the implementation of health management measures 3 months later, the management group and the control group the number of blood pressure returned to normal there was no significant difference, to the number of stroke also was no significant difference; the implementation of intervention measures six months later, two blood pressure normal number of statistically significant difference （ P 〈0. 01 ）, but to the number of overt stroke was no significant difference. Conclusion Population of pre - stroke self - management of health risk factors, which can effectively prevent or delay the occurrence of stroke, improve the quality of life.