社区高脂血症人群的早期健康干预的效果观察

The effects of early intervention to control hyperlipemia

目的探讨社区高脂血症人群的早期健康干预的效果与意义。方法将本社区高脂血症患者300例随机分为观察组和对照组,观察组在健康知识问卷调查基础上制定健康处方,进行健康干预;而对照组只进行常规健康教育。两年后对两组患者进行疗效评估。结果观察组与对照组患者血浆总胆固醇、甘油三脂、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、空腹血糖、收缩压、舒张压、体质指数、腰围等测值干预后与干预前比较,差异有统计学意义(P<0.05);干预后上述各指标测值观察组与对照组比较,差异有统计学意义(P<0.05)。观察组总有效率显著高于对照组,差异有统计学意义(P<0.05)。观察组冠心病、心原性猝死、心肌梗死、脑卒中的发生率明显低于对照组,差异有统计学意义(P<0.05)。结论高脂血症人群早期健康干预可减少并发症的发生。

Objective The study attempted to find out the role of early intervention in the treatment of hyperlipemia. Method Three hundred people with hyperlipidemia in our community health service center were randomly selected as subjects and divided into two groups. The experimental group were given intensive health intervention in light of the knowledge obtained from a questionnaire survey of heath knowledge, The control group were given routine health education. Two years later, final evaluation was carried out on the two groups. Findings The estimate values of TC, TG, LDL-C, FBG, SBP, DBP, WC, BMI varied significantly in the experimental group compared to those in the control group（P 〈 0.05）. The differences of the estimate values between the experiment group and the control group after two years＇ intervention were obvious（ P 〈 0.05 ）. Compared with the control group, the total effective percentage in the experiment group increased obviously （ P 〈 0. 05 ）, Compared with control group, the incidence rate of coronary heart disease decreased. Sudden cardiac death, myocardial infarction, and cerebral apoplexy in the experiment group decreased obviously（ P 〈 0. 05 ）. Conclusion Early health intervention for people with hyperlipemia can effectively reduce the occurrence of syndrome, which should be promoted in community health service center.