卒中单元模式下系统化健康教育和出院随访对脑卒中患者颈动脉斑块稳定性影响.docVIP

卒中单元模式下系统化健康教育和出院随访对脑卒中患者颈动脉斑块稳定性影响 　　[摘要] 目的 探?分析卒中单元模式下系统化的健康教育和出院随访对脑卒中患者颈动脉斑块稳定性的影响。 方法 选择我院收治的150例脑卒中患者作为本次研究对象，采用随机数字表的分组原则分为研究组和对照组，其中研究组75例患者予以单元模式下系统化的健康教育和出院随访，对照组75例患者予以神经内科的常规健康教育和出院随访；干预12个月后，比较两组患者的服药依从性、生活方式改变情况、血脂、血糖、血尿酸、颈动脉斑块积分及斑块性质变化情况。 结果 干预前，两组患者各项指标间的差异均无统计学意义（P0.05）；干预后，研究组患者的服药依从性及生活方式改变情况均优于对照组患者，差异均具有统计学意义（P0.05）；研究组患者的血甘油三酯（TG）、血胆固醇（TC）、血糖（GLU）及血尿酸（UA）等危险指标均低于对照组患者，差异均具有统计学意义（P0.05）；研究组患者颈动脉斑块积分及稳定性均优于对照组患者，差异具有统计学意义（P0.05）。 结论 卒中单元模式下的健康教育和出院随访可明显改变患者的不良生活方式，提高患者的服药依从性，从而有效地控制血脂、血糖、血尿酸等促进颈动脉斑块形成的危险因素，并且可使颈动脉斑块趋于稳定，降低脑卒中的再发风险。 　　[关键词] 卒中单元模式；颈动脉斑块；脑卒中；稳定性 　　[中图分类号] R473.7 [文献标识码] A [文章编号] 2095-0616（2017）07-217-04 　　Influence of systematic health education and discharge follow-up in stroke unit model to the stability of carotid plaques in stroke patients 　　GUO Cuiying LI Liuzhang SU Meixiang 　　Changan Hospital，Dongguan 523843，China 　　[Abstract] Objective To explore the influence of systematic health education and discharge follow-up in stroke unit model to the stability of carotid plaques in stroke patients. Methods 150 stroke patients cured in our hospital were selected as the study objects.According to random number table，they were divided into study group and control group.75 cases in study group were treated with systematic approach to health education and discharge follow-up，and 75 cases in control group were treated with routine health education and discharge follow-up in neurology department.After 12 months of intervention， medication compliance， lifestyle changes，blood lipids，blood glucose，serum uric acid，carotid plaque score and plaque characteristics of the two groups were compared. Results Before intervention，there was no significant difference between the two groups（P0.05）.After intervention，the terms of medication compliance and lifestyle changes in the study group were significantly better than those in the control group（P 　　[Key words] Stroke unit model；Carotid plaque；Stroke；Stability 　　?X卒中是指由于多种因素导致脑组织血液供应障碍，从而造成的系