2020—2024年哈尔滨市心血管疾病高风险人群一级预防健康管理效果研究

Study on the effect of primary prevention and health management in high-risk population of cardiovascular diseases in Harbin City from 2020 to 2024

目的动态分析2020—2024年哈尔滨市心血管疾病高风险人群一级预防健康管理效果,为形成积极精准的心血管疾病一级预防策略提供实践依据。方法采用简单随机抽样的方法选取195名≥35岁未患心血管疾病的高风险人群作为研究对象,并分为高风险对照组、高风险健康管理组,分别为99人、96人,动态监测相关指标。结果高风险健康管理组与高风险对照组相比,2021—2024年收缩压、空腹血糖,2022—2024年总胆固醇、血清低密度脂蛋白胆固醇等差异有统计学意义(P<0.05)。2020—2024年,高风险健康管理组研究对象收缩压(F=3.12)、空腹血糖(F=3.56)、总胆固醇(F=11.78)、甘油三酯(F=7.96)、血清低密度脂蛋白胆固醇(F=14.23)呈下降趋势,血清高密度脂蛋白胆固醇(F=3.98)呈上升趋势,差异均有统计学意义(P<0.05)。结论针对心血管疾病高风险人群的一级预防健康管理效果明显,能够有效改善相关指标水平。

Objective To dynamically analyze the effect of primary prevention health management in high-risk groups of cardiovascular diseases in Harbin City from 2020 to 2024,and to provide practical basis for the formation of active and accurate primary prevention strategies of cardiovascular diseases.Methods A total of 195 people≥35 years old who were not at high risk of cardiovascular disease were selected as the study objects by simple random sampling,and were divided into high risk control group and high risk health management group(99 people and 96 people,respectively).The relevant indicators were dynamically monitored.Results Compared with the high-risk control group,systolic blood pressure,fasting blood glucose in 2021-2024,total cholesterol and serum low density lipoprotein cholesterol in 2022-2024 were significantly different in the high-risk health management group(P<0.05).From 2020 to 2024,systolic blood pressure(F=3.12),fasting blood glucose(F=3.56),total cholesterol(F=11.78),triglyceride(F=7.96)and serum low density lipoprotein cholesterol(F=14.23)of subjects in the high-risk health management group showed a decreasing trend.Serum high density lipoprotein cholesterol(F=3.98)was increased,and the differences were statistically significant(P<0.05).Conclusion The primary prevention and health management for the high-risk population of cardiovascular disease is effective and can effectively improve the level of related indicators.