家庭医生签约服务模式对脑卒中筛查高危患者干预效果观察

Intervention effect of family doctor contract service mode on high risk stroke screening patients

目的观察家庭医生签约服务模式干预后的效果。方法对90例脑卒中高危患者进行家医签约服务模式管理2年后,根据危险因素的控制情况,进行效果评价。结果家庭医生签约服务管理模式对脑卒中高危人群总胆固醇、低密度脂蛋白、高密度脂蛋白、空腹血糖、血清同型半胱氨酸以及颈动脉内膜厚度的干预非常有效,差异有统计学意义(P<0.05),而对BMI值、腰围、甘油三酯、颈动脉斑块数量、椎管狭窄程度的干预效果差异无统计学意义。结论家庭医生签约服务管理模式能够有效地控制和减少脑卒中高危人群危险因素,在生活方式干预方面还需要进一步加强管理。

Objective To observe the effect of family doctor contract service mode after intervention.Methods90patients with high risk of stroke were managed by home contracting service mode for2years,and the effect was evaluated according to the control of risk factors.Results The intervention management model of family doctors was very effective for the intervention of total cholesterol,low density lipoprotein,high density lipoprotein,fasting blood glucose,serum homocysteine,and carotid artery intima thickness in patients with high risk of stroke.There were statistical significance(P<0.05),and BMI value,waist circumference,triglyceride,carotid artery.The intervention effect of plaque number and spinal stenosis degree was not statistically significant.Conclusion The family doctor contract service management model can effectively control and reduce the risk factors of the high risk population of stroke.It plays an important role in the prevention and control of stroke,and the management of lifestyle intervention should be further strengthened.