门诊健康教育对脑卒中高危人群危险因素的干预

Intervention effects of health education of out-patient department on cerebral apoplexy high risk group

目的探讨门诊健康教育对脑卒中高危人群危险因素的干预效果。方法将2010年6月至2012年6月在我院就诊的500名脑卒中高危患者分成两组，一组为对照组，未进行系统的健康教育，另一组为干预组，针对危险因素进行系统的健康教育。比较两组在血糖、血脂、血压方面的控制情况及两组脑卒中的发病率。结果干预组在接受系统的健康教育后，血糖为（6．5±1．2）mmol／l，血脂为（2．39±1．27）mmol／l，收缩压为（135±18）mmHg，舒张压为（85±23）mmHg，脑卒中发病率为4．4％；未进行系统健康教育的对照组血糖为（7．5±1．3）mmol/l，血脂为（3．32±1．21）mmol/l，收缩压为（159±22）mmHg．舒张压为（95±31）mmHg，脑卒中发病率为7．2％，干预组对血糖、血脂、血压的控制情况优于对照组，脑卒中的发病率低于对照组。两组比较差异有统计学意义（P〈0．05）。结论在门诊对脑卒中高危人群，针对其危险因素进行健康教育，可更好地控制血糖、血脂及血压，降低了脑卒中的发病率。

Objective To observe the effects of health education in out-patient department intervening to risk factors of cerebral apoplexy high risk group. Methods 500 patients of out-patient department in our hospital from June 2010 to June 2012 were recruited. They were divided into two groups. One was control group, which did not accept systematic health education. The other was treatment group, which accepted systematic health education for risk factors. Blood glucose, lipid, blood pressure and morbidity were observed. Results After accepted systematic health education in treatment group, blood glucose was （6.5 ± 1.2） mmol/1, lipid was （2.39 ± 1.27） mmol/1, systolic pressure was （135 ± 18） mmHg, diastolic pressure was （85 ± 23） mmHg, the morbidity of cerebral apoplexy was 4.4%; in the control group without systematic health education ,blood glucose was （7.5 ± 1.3） mmol/1, lipid was （3.32 ± 1.21） mmol/1, systolic pressure was （159 ± 22） mmHg, diastolic pressure was （95 ± 31） mmHg, the morbidity of cerebral apoplexy was 7.2%, two groups were compared, and difference was statistically significant （P〈0.05） .The level of blood glucose, lipid, blood pressure in treatment group were improved. The morbidity of cerebral apoplexy in treatment group was better than that in the control group. Conclusion In cerebral apoplexy high risk group, according to its risk factors health education can improve blood glucose, lipid, blood pressure and reduce the morbidity of cerebral apoplexy.