光塔街社区综合管理对低中危组高脂血症患者血脂控制及认知水平的影响

The Influence of Community Comprehensive Management in Guangta Street on Lipid Control and Cognitive Level of Hyperlipidemia Patients in Low and Middle Risk Groups

目的：通过对社区低中危组高脂血症患者进行非药物干预降脂治疗，摸索出一套适合社区、方便执行、更为患者接受的非药物干预方案，从而减少以动脉粥样硬化为基础的缺血性心脏病（包括冠心病和缺血性脑卒中）发病率，降低医疗成本。方法：采用Framingham危险分级法，将入组的低中危组高脂血症患者随机分配到干预组和对照组；对照组不予任何干预，干预组则予非药物干预措施（包括高血脂相关知识宣教、改变不良饮食习惯等），每周2次；分别于入组时及1年后测定所有患者的血脂水平及高脂血症知识水平。结果：综合管理1年后，干预组血脂水平显著下降，与对照组比较有显著性差异（P〈0.01）。结论：社区综合管理模式对低中危组高脂血症患者血脂水平控制有重要作用，尤其是控制LDL、HDL及血脂异常知识、态度、行为方面取得了良好收益，值得社区推广应用。

Objective：By intervening patients with hyperlipidemia in low and middle risk groups with non-drug lipid-lowering therapy, to grope to-wards a non-drug intervention programme that fits the situation of community, convenient to execute and more easily accepted by patients, so that the occurrence of ischemic heart diseases caused by atherosclerosis （including coronary heart disease and cerebral arterial thrombosis） can be reduced and the medical cost be decreased. Methods：Hyperlipidemia patients in low and middle groups were randomly divided into intervention group and control group by Framingham risk classification method;the control group was intervened without any measures, while the intervention group was in-tervened with non-drug intervention （including hyperlipemia related knowledge education, to change the poor diet, etc）, 2 times a week;determined the blood lipid level and hyperlipidemia knowledge level of all of the patients at the time of before intervened and after 1 year. Results：By compre-hensive managed for 1 year, the lipid level of intervention group was significantly decreased, and there was significant difference compared with that of control group （P〈0.01）. Conclusion：Community comprehensive management plays an important role in controlling the lipid level of hyperlipid-emia patients in low and middle groups, especially can achieve good benefit in the aspects of controlling LDL, HDL and dyslipidemia knowledge, at-titude, behavior, deserves promote and apply in community.