健康干预对脑卒中前期自创性危险因素人群的影响分析

Health intervention on risk factors for stroke pre-own crowd of impact analysis

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,探讨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,保持正常体重,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6个月、12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6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,转为脑卒中的人数差异也无统计学意义;实施干预措施12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。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 own sexual health risk factors on the conduct of health interventions in the management of its previous population of stroke. Methods Healthy community residents in line with early diagnosis of 386 cases of stroke were randomly assigned,including management group 193 patients,193 patients in control group. Management Group to implement health management,including lectures on stroke prevention,guiding the rational diet,maintaining a normal body weight,avoiding overweight and obesity. Regular exercise,healthy lifestyle to maintain mental balance. And the establishment of personal health records,regular monitoring of blood pressure,blood sugar,to track follow-up management. Inform the control group had high blood pressure or the existence of risk factors for stroke,without any preventive measures. Comparison of 6 months,12 months,the management group and control group pre-stroke outcome and stroke happened. Results The implementation of health management for 6 months,the management group and the control group the number of normal blood pressure showed no significant difference,to the number of stroke was no significant difference; implemented 12 months after intervention,both groups blood pressure The number of normal was significantly （ P 0. 01） ,but to the number of overt stroke was no significant difference. Conclusion health management of early stroke risk factors,can effectively prevent or delay the incidence of stroke and improve quality of life.