【摘要】 目的:分析冠心病危险因素,探讨社区综合干预后的临床意义。方法:将确诊冠心病患者220例随机分为:干预组110例,采取改善生活方式、控制饮食、戒烟、适量运动等综合干预措施;对照组110例为门诊随访患者。观察两组患者1年内血压、血脂、体重指数、血糖、急性冠脉事件发生率及健康行为形成率等指标的改变。结果:除体重指数、血清胆固醇(TC)在干预后与对照组比较无明显差异外,血压、血糖、甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)及急性冠脉事件的发生率与对照组比较均有显著性差异(P<0.05或<0.01)。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。更多还原

【Abstract】 Objective:To investigate the clinical significance in comprehensive community intervention of coronary risk factors.Methods:A total of 220 cases of confirmed coronary disease were randomized into two groups:intervention group(n=110),in which comprehensive interventional measures such as improvement of life style,controlled diet,quitting smoking,proper physical exercises,etc.were taken,and control group(n=110), in which follow-up outpatients were enrolled.Changes in indicators,including blood pressure,blood fat,body mass index,blood glucose,occurrence rate of acute coronary artery events,and formation rate of health behaviors within 1 year,were observed.Results:Significant difference was found in blood pressure,blood glucose,TG,HDL-C,LDL-C,and occurrence rate of acute coronary artery disease but not in body mass index and TC between the two groups(P<0.05/<0.01).Conclusion:Comprehensive community intervention can effectively control risk factor for coronary artery disease,decrease the occurrence of acute coronary artery events,and improve quality of life.更多还原