中老年高血压伴血脂异常患者的社区强化综合干预效果研究

Effects research of community strengthen comprehensive intervention on middle-aged with high blood pressure and dyslipidemia

目的:观察社区强化综合干预中老年高血压伴血脂异常患者的临床效果。方法:2010年8月-2012年8月收治>45岁常住社区居民高血压伴血脂异常患者169例,根据个人意愿分为对照组(72例)和干预组(97例)。对照组给予常规降压、降脂药物治疗,干预组在此基础上进行社区强化综合干预,比较两组患者体重指数、血压、血脂、空腹血糖。结果:1年后,干预组BMI、SBP、DBP、TC、TG、LDL-C与治疗前比较,差异有统计学意义(P<0.05);干预组SBP、TG、TC、LDL-C较对照组下降更明显,差异有统计学意义(P<0.05)。结论:综合强化干预可有效控制中老年高血压伴血脂异常患者的血压、血脂水平,降低心血管疾病的发生风险。

Objective:To observe the effects of community strengthen comprehensive intervention on middle-aged with high blood pressure and dyslipidemia.Methods:169 cases of permanent residents aged over 45 years old with high blood pressure and dyslipidemia from August 2010 to August 2010 were divided into the control group(72 cases) and the intervention group(97 cases)according to the individual aspiration.The control group were treated with conventional antihypertensive and lipid-lowering medications,and the intervention group were treated with community strengthen comprehensive intervention on the basis of above.Compare the body mass index,blood pressure,blood lipid,fasting blood glucose of the two groups.Results:After 1 years,the leveles of BMI,SBP,DBP,TC,TG,LDL-C in the intervention group were different from that of posttreatment,and the difference was statistically significant(P<0.05).The leveles of SBP,TG,TC, LDL-C in the intervention group decreased more obviously than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Strengthening comprehensive intervention can control the blood pressure and blood lipid of middle-aged with high blood pressure and dyslipidemia,and reduce the risk of cardiovascular disease.