【云浮市高脂血症人群社区综合干预效果分析】高脂血症能治好

【云浮市高脂血症人群社区综合干预效果分析】高脂血症能治好 摘要 目的 探讨高脂血症患者的社区综合干预模式。 方法 本研究在血脂筛查的基础上，将于云浮市云城区的338名高脂血症患者随机分为干预组（n = 169）和对照组（n = 169），干预组进行以膳食调整为主的综合干预，为期6个月。研究对象干预前后进行膳食调查、体格检查和血液指标检测。 结果 经过干预，干预组总能量、脂肪、胆固醇和食用油摄入量分别下降21.96，28.57，26.24和23.07，三大营养素供能比例趋向合理；干预组体重、体质指数均降低，且降低幅度均明显高于对照组（均P 0.05）；干预组血清总胆固醇（TC）、低密度脂蛋白胆固醇（LDL-CH）分别降低7.16（P 0.05）和9.73（P 0.05）。 结论 高脂血症社区综合干预模式可以纠正高脂血症患者的不合理饮食习惯及不良生活方式，提升用药依从性，对降低血脂水平及减少心脑血管意外具有积极作用。 关键词 高脂血症；综合干预；社区 R473.2 A 1673-7210（xx）07（c）-0057-03 Effects of prehensive intervention on hyperlipemia based on munities in Yunfu city YUAN Xinghua Health School of Yunfu City, Guandong Province, Yunfu 527300, China Abstract Objective To investigate the munity-based prehensive intervention model for patients with hyperlipidaemia. Methods Based on the results of hyperlipemia screening, 338 cases were randomly divided into intervention group (n = 169) and control group (n = 169). Comprehensive intervention was available to the intervention group for 6 months. Dietary surveys, physical and blood examinations were performed and analyzed respectively at the onset and endpoint of the intervention period. Results Total calories, fat, cholesterol and cooking oil were decreased by 21.96%, 28.57%, 26.24% and 23.07% respectively in intervention group. The percentages of total calories provided by fat, carbohydrate and protein were trended to be desirable. Compared to the control group, the decreases of body weight and BMI in intervention group were significantly higher than control group. There were also 7.16% (P 0.05) and 9.73% (P 0.05) reductions in total serum cholesterol and low-density lipoprotein cholesterol respectively in intervention group. Conclusion Community-based prehensive intervention model can modify the hyperlipidaemia patientsunreasonable diet and lifestyle and improve their medication pliance. It is conducive to reduce blood lipid level and cardiovascular and cerebrovascular aidents. Key words Hyperlipemia; Comprehensive intervention; Communities 随着经济的不断发展，人们的生活方式、饮食结构发生了巨大变化，高脂血症发病率呈上升和年龄提前趋势，治疗与控制高脂血症的重要意义是改变异常血脂状况及降低发生冠心病的风险。临床服用降脂药可有效控制血脂水平，但长期服用费用高昂，且存在一定的毒副作用，科学调控、改变饮食习惯和运动方式可有效预防、降低和治疗此类病症1。作为冠心病初级预防的重要内容，通过综合干预来预防和控制高脂血症日益得到人们的重视。而在防治过程当中，社区医院可发挥得天独厚的地缘优势，为广大社区居民提供优质、平价、便捷的健康管理和防治指导服务2。本研究对338例综合干预的社区高脂血症病例进行总结分析，报道如下： 1 资料与方法 1.1 一般资料 选择云浮市云城区金龙社区卫生服务中心作为工作现场。对社区3873岁常住居民进行高脂血症筛查，筛查出高脂血症患者空腹血清总胆固醇（TC） 6.22 mmol/L，三酰甘