个性化健康管理对中老年人群脑卒中危险因素的干预效果研究

Effect of individualized health management on risk factors of stroke in middle aged and elderly population

目的观察个性化健康管理对中老年人群脑卒中危险因素的干预效果。方法将经过纳入与排除标准筛选出来的1 126例脑卒中高危人群按随机数字表法随机分为个性化健康管理组(观察组563例)和普通宣教组(对照组563例)进行干预,剔除失访病例48例,最终1 078例纳入统计,其中观察组554例,对照组524例。对比经不同健康干预方式3年前后两组的脑卒中危险因素改善情况以及两组的脑卒中发生率。结果经X^2检验,干预后两组在血压、血糖、血脂、体重指数、吸烟等危险因素的控制上差异有统计学意义;观察组脑卒中发生率低于对照组。结论个性化健康管理对脑卒中危险因素的干预有明显效果,因其显示的固有优势和广阔的发展前景,建议体检中心推广。

Objective To observe the effect of individualized health management on the risk factors of stroke in middle aged and elderly population. Methods The inclusion and exclusion criteria selected 1 126 patients at high risk of stroke were randomly divided into personalized health management group(observation group 563 cases) and general education group(control group 563 cases) intervention, 48 cases were excluded, the final 1 078 were included in the statistics, including the observation group of 554 cases, the control group of 524 cases. The risk factors of stroke in two groups were compared between the two groups before and after the intervention of health care for about 2 years. Results After X^2 test, the difference of blood pressure, blood glucose, blood lipid, body mass index, smoking and other risk factors in the two groups were statistically significant; the incidence of stroke in the observation group was lower than that in the control group. Conclusion Personalized health management has a significant effect on the risk factors of stroke, because of its inherent advantages and broad prospects for development, it is suggested that medical examination center promotion.