医防融合模式下脑卒中高危人群健康管理的效果分析

Effect Analysis of Health Management for High-risk Population of Stroke under the Mode of Integration of Medicine and Prevention

目的了解和探索在医防融合模式下对脑卒中高危人群进行健康管理的效果。方法从我社区卫生服务中心就诊及体检的人群中,筛查200例脑卒中高危人群,用随机数字表法分为干预组(n=100例)、对照组(n=100例)。对照组给予正常就诊或咨询时进行常规口头健康教育,干预组则应用医防融合的模式,进行规范的健康管理,对照组和干预组均观察12个月。对比两组用不同方法给予干预后的吸烟、合理饮食及规律体育锻炼人数情况,血压、血糖正常率、脑卒中发生率,干预前、干预后收缩压、舒张压、空腹血糖、低密度脂蛋白、体质指数的对比。结果给予医防融合模式的健康干预后干预组吸烟人数的比例较对照组低,合理饮食、规律运动人数比例较对照组高,差异有统计学意义(P<0.01);收缩压、舒张压、空腹血糖、低密度脂蛋白、体质指数均较对照组低,差异有统计学意义(P<0.01),干预组干预12个月后血压和血糖及脑卒中发生率均低于对照组,差异有统计学意义(P<0.05)。结论医防融合模式下脑卒中高危人群的健康干预可以有效改变其不良的生活方式,降低脑卒中发病风险。

Objective To understand and explore the effect of health management on high-risk population of stroke under the mode of integration of medicine and prevention.Methods A total of 200 high-risk people were randomly divided into intervention group and control group,100 cases each group.The control group was given routine oral health education during normal visit or consultation,while the intervention group was treated with the model of integration of medicine and prevention to carry out standardized health management.Both the control group and the intervention group were observed for 12 months.The number of smokers,reasonable diet and regular physical exercise between the two groups were compared after intervention by different methods,and blood pressure,normal blood sugar rate,stroke incidence rate,systolic blood pressure,diastolic blood pressure,fasting blood glucose,low density lipoprotein,body mass index before and after intervention were observed.Results The proportion of smokers in the intervention group was lower than that in the control group,and the proportion of people who eated reasonably and exercised regularly was higher than that in the control group(P<0.01).The systolic blood pressure,diastolic blood pressure,fasting blood glucose,low density lipoprotein,and body mass index in the intervention group were lower than those in the control group(P<0.05).Conclusion The health intervention of high-risk groups of stroke under the mode of integration of medicine and prevention can effectively change their unhealthy lifestyles,and early management of high-risk groups of stroke can effectively reduce the risk of stroke.