心血管常见病的高危发病因素社区性预防的实验研究  

A experimental research on prevention of high risk factors of common cardiovascular diseases in the community

作　　者：马梁红[1] 韦真理[1] 唐柳云[1] 骆桂秀[1] 别剑子[1] 李佑琳[1] 吕桂芬[1] 曾兆良[1] 易宏[1] 易平[1] 梁树成[1] 肖文[1] 谢剑[1] 李娟[1] 周柳艳[1] 朱艳华[1] 赖沙毅[1] 佘军红[1] 刘卫[1] 史清秀[1] 

机构地区：[1]广西医科大学第四临床医学院,柳州545005

出　　处：《中国行为医学科学》2004年第5期552-554,共3页Chinese Journal of Behavioral Medical Science

基　　金：广西科学研究技术开发计划资助项目 (桂科攻 981 70 83)

摘　　要：目的探讨心血管系心身疾病社区性预防的途径和方法。方法将本市两单位的 40 0名健康职工分两组 ,对其心血管系如冠心病等的心身疾病的预防知识的学习、改变不良生活方式和调整不良情绪的指导等预防干预进行前瞻性对照研究。结果经上述干预 1年后 :①两组心血管常见心身疾病的发病高危因素的临床生化指标 :血胆固醇 (TC)实验组 ( 4 .3 3± 0 .75 ) ,对照组 ( 4 .75± 0 .87)、血甘油三脂 (TG)实验组 ( 1.66± 0 .74) ,对照组 ( 1.93± 0 .85 ) ;血高密度脂蛋白 (HDL C)实验组 ( 1.13± 0 .19) ,对照组 ( 1.0 2± 0 .2 2 )、全血粘度 (mPa .s :)实验组 ( 1.5 8± 0 .14 ) ,对照组 ( 1.64± 0 .17) ,两组比较差异有显著性 (P <0 .0 5 ) ,实验组低于对照组 ;②生活方式上食盐的摄入干预前 ( 1.5 3± 0 .5 5 ) ,干预后 ( 1.78± 0 .69)、进食新鲜蔬菜干预前 ( 1.76± 0 .5 8) ,干预后 ( 1.98± 0 .71)、进食肥肉及动物内脏干预前 ( 1.69± 0 .78) ,干预后 ( 2 .0 4± 0 .84)、定时适量进食干预前 ( 2 .0 4± 0 .69) ,干预后 ( 2 .3 3± 0 .67)、体育锻炼时间干预前 ( 1.5 4± 0 .67) ,干预后 ( 1.83±0 .5 6)、锻炼项目干预前 ( 3 .17± 1.0 2 ) ,干预后 ( 3 .5 5± 1.15 )、心情平静的时间干预前 ( 1.73±ObjectiveTo research the workable ways of prevention of psychosomatic diseases in the community. Methods400 healthy staff from two work units were divided into two groups. A prospective comparison was carried out in which one group was taught about prevention of psychosomatic diseases caused by cardiovascular disease e.g. coronary heart disease, changing their unhealthy life style and dealing with low mood. Result One year after the interventions above, for both groups, there are significant differences among the clinical biochemical elements of the high risks for common psychosomatic diseases in cardiovascular patients: TC in experimental group (4.33±0.75)and comparison group(4.75±0.87), TG in experimental group (1.66±0.74)and comparison group(1.93±0.85), HDL-C in experimental group (1.13±0.19)and comparison group(1.02±0.22), mPa.s: in experimental group ( 1.58±0.14)and comparison group(1.64±0.17)(P<0.05), those of the experimental group are lower than those of the comparison group. With the time passing, life style including intake of salt before intervention (1.53±0.55)and after intervention(1.78±0.69) , fresh vegetables before intervene-tion (1.76±0.58)and after intervention(1.98±0.71), fat meat and organs of the animals before intervention (1.69±0.78)and after intervention(2.04±0.84), regular eating before intervention (2.04±0.0.69)and after intervention(2.33±0.67), periods of sports before intervention (1.54±0.67)and after intervention(1.83±0.56), kinds of sports before intervention (3.17±1.02)and after intervention(3.55±1.55), time of stable mood before intervention (1.73±0.57)and after intervention(1.98±0.63), was improved. The difference between the two groups is significant (P<0.05). Those of the experimental group are higher than those of the comparison group. There are no significant differences in intake of salty fish, salty vegetables, smoking, drinking white wine, regular rest etc. (P<0.05). Those of the experimental group are lower than those of the comparison group. The CH

关 键 词：心血管常见病 高危发病因素 社区 预防 实验研究 

分 类 号：R54[医药卫生—心血管疾病]