颈动脉斑块饮食护理疗效分析

About carotid plaque efficacy of diet care

目的 探讨饮食护理对颈动脉斑块患者的影响。方法 选取2014年3月-2015年12月我科接诊的160例颈动脉粥样硬化患者,随机均分为研究组和对照组。研究组患者在药物治疗同时服用本科专门配置食谱,对照组患者进行药物治疗,同时按照自己意愿进行饮食,1个月为1个疗程,治疗周期为3个月,比较两组患者的动脉内膜中层厚度和颈动脉斑块面积,测量两组患者三酰甘油（TG）、总胆固醇（TC）、低密度脂蛋白（LDL-C）和高密度脂蛋白（HDL-C）含量,对比血脂水平变化,判定两组患者对治疗后的满意程度。结果 研究组患者护理后动脉内膜中层厚度和颈动脉斑块面积小于护理前,且小于对照组护理后的动脉内膜中层厚度和颈动脉斑块面积,差异有统计学意义（P〈0.05）。研究组护理后的血脂水平明显小于对照组,差异有统计学意义（P〈0.05）。研究组患者满意度明显高于对照组,差异有统计学意义（χ^2=6.7818,P=0.0092）。结论 合理健康的饮食习惯可以有效改善颈动脉斑块症状,值得推广。

Objective To study the effects of diet nursing on patients with carotid artery plaque.Methods Select from March 2014 to December 2015 in our department admissions of 160 patients with carotid atherosclerosis patients were randomly divided into study group and control group.Study group of patients in drug treatment while taking undergraduate specially configured recipes,control patients in drug treatment,and in accordance with the wishes of their own diet,a month for a course of treatment period of 3 months,carotid intima-media thickness and carotid plaque area of two groups were compared;measuring two groups of patients TG,TC,LDL-C and HDL-C content,comparing lipid levels;judgment on two grnups of patients after treatment satisfaction.Results Study group of patients after treatment carotid intima-media thickness and carotid plaque area less than before nursing,and less than after carotid plaque area,the difference was statistically significant （P〈0.05）.Lipid levels after nursing study group was significantly lower than that of control group after treatment,the difference was statistically significant （P〈0.05）.Study group patient satisfaction was significantly higher than that of control group,the difference was statistically significant （χ^2=6.7818,P=0.0092）.Conclusion Reasonable and healthy eating habits can improve the symptoms of carotid artery plaque,worthy of promotion.