南苑地区冠心病患者社区综合干预对照研究.docVIP

南苑地区冠心病患者社区综合干预对照研究 　　摘 要：目的：通过对冠 心病患者相关危险因素的社区综合干预，探讨社区干预的临床意义。方法：将入组的冠心病患者随机分为对照组和干预组，干预组通过定期宣教，针对不同的个体制定相应的干预计划（包括改善生活方式、控制饮食、戒烟、适量运动等）；对照组仅作定期随访，观察比较两组患者2年内不良生活方式的改变情况，体重、血压、空腹血糖、血清总胆固醇、甘油三酯、低密度脂蛋白等的控制情况及急性冠脉事件的发生率。结果：实施社区综合干预2年后干预组的体育锻炼、合理膳食、遵从医嘱、戒烟等行为形成率显著优于对照组，除体重指数外，血压、血糖、甘油三酯、胆固醇水平均低于对照组，急性冠脉事件发生率为16.67%，优于对照组的25.40%。结论：通过社区综合干预可以有效地控制冠心病危险因素，减少急性冠脉事件的发生率，提高生活质量。 　　关键词：冠心病；危险因素；社区综合干预 　　中图分类号：R541.4 文献标识码：B 文章编号：1673-7717（2011）04-0841-02 　　Coronary Heart Disease Risk Factors Related to Integrated 　　Community Intervention in Nanyan District 　　HAI Li，MA Xia-mei,WANG Shi,MENG Li,WANG Yu,WEI Hong, 　　DUAN Jiu-hong,DAI Zao-dong,TIAN Shi-lai,GUO Yan-ling,LIU Ji-xia 　　（Beijing Nanyan Hospital,Beijing 100076,China） 　　Abstract:Objective:Patients with coronary heart disease risk factors related to integrated community intervention, To explore the clinical significance of community intervention.Methods:Patients with coronary heart disease were recruited randomly divided into control group and intervention group, The intervention group through regular missionary, For different individuals to develop appropriate intervention plans （including the improvement of lifestyle, diet, smoking cessation, regular exercise, etc.）The control group, only regular follow-up. Comparing the two groups observed in patients 2 years of unhealthy lifestyle changes, weight, blood pressure, fasting blood glucose, serum total cholesterol, triglyceride, low-density lipoprotein control of such circumstances and the incidence of acute coronary events.Results:The implementation of the Community intervention in the intervention group 2 years after the physical exercise, reasonable diet, follow doctors advice, smoking cessation and other behavior formation rate was significantly superior to the control group, in addition to body mass index, the blood pressure, blood glucose, triglycerides, cholesterol, lower than that the control group, the incidence of acute coronary events was 16.67%, the