TIA患者社区干预对中风预防效应的临床研究-针灸推拿学专业论文.docxVIP

成都中医药大学硕士学位论文 成都中医药大学硕士学位论文 PAGE PAGE 1 摘 要 目的：观察 TIA 患者社区干预对中风的预防效应。 方法：采用队列研究方法,干预组和对照组分别纳入符合标准的 TIA(短暂性 脑缺血发作)的患者各 66 例。研究中脱落 6 例，剔除 6 例。符合疗效分析者 120 例，其中治疗组 60 例，对照组 60 例,所有患者给予针对基础疾病的相应治疗。 在此基础上,对干预组患者进行社区干预,包括健康生活方式的教育和干预（如戒 烟、戒酒、膳食合理、起居规律、适量运动、控制体重等）。疗程为 6 月。两组 病例的基线资料（性别、年龄、病程、发作频率、中医证型分析等）分别经χ2 检验、非参数 Mann-Whitney U 检验、秩和检验。干预组和对照组相关危险因素 和疾病观测指标（血压、血脂、血糖、心电图）采用χ2 检验；对两组患者 TIA 复发频率和发作持续时间用秩和检验，对两组患者中风发生率用χ2 检验。 结果：①用本干预方法在 6 个月内，对两组患者血脂、血糖、心电图情况的 控制无明显差异（P 均大于 0.05）,对患者的血压控制有明显差异（P＜0.05）。 ②用本干预方法在 6 个月内，对两组患者 TIA 发作频率的控制有明显差异（P＜ 0.05）,对两组患者 TIA 发作时间控制没有明显差异（P＞0.05）。 ③用本干预方法在 6 个月内，对两组患者中风发生率有明显差异（P＜0.05）。 结论：本干预方法对社区 TIA 患者的血压控制、TIA 复发频率控制有效，对 近期 TIA 患者中风发生率的控制有明显效果。 关键词：TIA；社区干预；中风预防 Abstract Objective: To observe the TIA patients with community intervention for stroke prevention effect. Methods: The cohort study, the intervention group and control group were included in standard TIA (transient ischemic attack) in patients with the 63 cases. Study off in 3 cases, excluding 3 patients. Clinical analysis of 120 cases were found, of which 60 samples were treated, 60 cases were treated, all patients received the appropriate treatment for basic diseases. On this basis, the intervention group patients on the community intervention, including lifestyle education and intervention (such as smoking, drinking, diet and reasonable accommodation laws, regular exercise, weight control, etc.). Treatment was in June. Two cases of baseline data (sex, age, disease duration, seizure frequency, TCM analysis, etc.) were treated with χ2 test, nonparametric Mann-Whitney U test, rank sum test. Intervention group and control group of related risk factors and disease outcome measures (blood pressure, blood lipids, blood glucose, ECG) using χ2 test; on two groups of patients with TIA recurrence frequency and duration of attack with the rank sum test, the incidence of stroke in two groups of patients with χ2 test. Results: ①with the intervention of 6 m