中医药健康管理服务干预痰湿质高脂血症患者的效果

Effect of traditional Chinese medicine health management service in the intervention of patients with phlegm-dampness hyperlipidemia

目的探讨中医药健康管理服务干预痰湿质高脂血症患者的效果。方法选取2016年1~12月广州市海珠区5个社区共筛选出的200例痰湿质高脂血症患者作为研究对象,男92例,女108例,编制随机数目表,将患者分成干预组与非干预组,每组各100例。非干预组患者采用常规服务,干预组患者采用中医健康管理服务。分别于12、24个月后,观察两组患者的血脂情况[总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)],并进行体质辨识,对结果数据进行分析。结果干预组患者干预12个月后,有22例转为倾向痰湿质,10例转为平和质,其余未发生变化;非干预组患者干预12个月后,有10例转为倾向痰湿质,3例转为平和质,其余未发生变化;两组患者干预12个月后的体质转向情况比较,差异有统计学意义(P<0.01)。干预24个月后,干预组患者有40例转为倾向痰湿质,有29例转为平和质,31例仍为痰湿质;非干预组患者有13例转为倾向痰湿质,4例转为平和质,其余患者仍为痰湿质;两组患者干预24个月后的体质转向情况比较,差异有统计学意义(P<0.01)。两组患者干预前的血脂水平比较,差异无统计学意义(P>0.05);两组患者干预12、24个月后的TC、TG、LDL-C水平均显著低于干预前,差异有统计学意义(P<0.01);干预组患者干预12、24个月后的TC、TG、LDL-C水平均显著低于非干预组,差异有统计学意义(P<0.01)。结论痰湿质高脂血症患者在接受中医药健康管理服务干预后取得了良好的效果。

Objective To explore the effect of traditional Chinese medicine health management service in the intervention of patients with phlegm-dampness hyperlipidemia.Methods A total of 200 patients with phlegm-dampness hyperlipidemia who were screened from five communities in Haizhu district of Guangzhou city from January to December 2016 were enrolled in the study,with 92 males and 108 females.A random number table was prepared and patients were divided into the intervention group and the non-intervention group,100 cases in each group.Patients in the non-intervention group received routine service,and patients in the intervention group received traditional Chinese medicine health management service.After 12 and 24 months,the blood lipids (total cholesterol [TC],triglyceride [TG],low-density lipoprotein cholesterol [LDL-C]) were observed in the two groups,the constitutional identification was performed,and the resulting data were analyzed.Results After 12 months of intervention,22 cases were converted to the tendency of phlegm-dampness,10 cases were converted to peace,and the rest did not change in the intervention group.In the non-intervention group,10 cases were converted to the tendency of phlegm-dampness,3 cases were converted to peace,and the rest did not change.There was statistically significant difference in the physical turn of the two groups after 12 months of intervention (P<0.01).After 24 months of intervention,40 cases in the intervention group were converted to the tendency of phlegm-dampness,29 cases were converted to peace,and 31 cases were still phlegm-dampness.In the non-intervention group,13 cases were converted to the tendency of phlegm-dampness,4 cases were converted to peace,and the remaining patients were still phlegm-dampness.There was statistically significant difference in the physical turn of the two groups after 24 months of intervention (P<0.01).There were no significant differences in blood lipid levels between the two groups before intervention (P>0.05).The levels of TC,TG and LDL-C in the two groups after 12 and 24 months of intervention were significantly lower than those before intervention,and the differences were statistically significant (P<0.01).The levels of TC,TG and LDL-C in the intervention group after 12 and 24 months of intervention were significantly lower than those in the non-intervention group,and the differences were statistically significant (P<0.01).Conclusion Patients with phlegm-dampness hyperlipidemia achieve good results after receiving the intervention of traditional Chinese medicine health management service.