脑卒中高危人群实施健康管理效果评价分析

发布时间：2019-04-17 12:22

【摘要】：目的探讨脑卒中高危人群实施健康管理干预的效果,为早期预防脑卒中提供依据。方法将400例脑卒中高危人群随机分为对照组(n=200)和管理组(n=200),对照组给予常规对症处理,而管理组则在对照组基础上给予综合健康管理措施,比较两组干预12个月后的行为生活方式、临床相关指标及预后结局等。结果管理组的合理饮食、体育锻炼、未吸烟率及未饮酒率均明显高于对照组(P0.01);管理组的收缩压、舒张压、体质指数、HbA1c及LDL-C均明显低于对照组(P0.01);管理组干预后的血压正常率、血糖正常率均明显高于对照组(P0.01);而管理组干预后的脑卒中发生率仅为0.5%,明显低于对照组的4.0%(P0.05)。结论脑卒中高危人群实施健康管理措施后,可明显改变行为习惯、降低脑卒中高危因素、改善临床症状体征,减少脑卒中的发生率。
[Abstract]:Objective to explore the effect of health management intervention in high risk group of stroke, and to provide evidence for early prevention of stroke. Methods 400 patients with high risk of stroke were randomly divided into two groups: control group (n = 200) and management group (n = 200). The control group was treated with routine symptomatic treatment, while the control group was given comprehensive health management measures on the basis of the control group. The behavioral lifestyle, clinical related indexes and prognosis were compared between the two groups after 12 months of intervention. Results the reasonable diet, physical exercise, non-smoking rate and non-drinking rate in the management group were significantly higher than those in the control group (P0.01), and the systolic blood pressure, diastolic blood pressure, body mass index, HbA1c and LDL-C in the management group were significantly lower than those in the control group (P0.01). The normal rate of blood pressure and blood glucose in the management group were significantly higher than those in the control group (P0.01), while the incidence of stroke in the management group was only 0.5%, which was significantly lower than 4.0% in the control group (P0.05). Conclusion the implementation of health management measures can significantly change behavior habits, reduce the risk factors of stroke, improve clinical symptoms and signs, and reduce the incidence of stroke.
【作者单位】：武汉市武昌医院公共卫生科;
【基金】：武汉市公共卫生及卫生政策科研项目(WG16Z03)
【分类号】：R193;R743.3

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