北京市月坛社区冠心病患者规范化管理效果评价  

Standardized management of patients with coronary heart disease in Yuetan Community of Beijing

作　　者：周文利[1] 董建琴[1] 佟秀梅[1] 

机构地区：[1]首都医科大学附属复兴医院月坛社区卫生服务中心,北京100045

出　　处：《中华全科医师杂志》2009年第9期656-657,共2页Chinese Journal of General Practitioners

摘　　要：2005年1月至2007年12月，选取北京市月坛社区自愿接受管理的冠心病患者共522例，根据自愿原则，分为规范化管理组（288例）和一般管理组（234例），对其分别按照各自方案管理1年后，进行生存质量指标和综合管理效果评价。结果显示规范管理后冠心病患者各项生存质量评分均高于一般管理方案患者；在缓解胸闷憋气，降低血压、血糖和血脂，控制心电图ST段T波改变方面，两组差异均有统计学意义（均P〈0．05或P〈0．01）；规范管理明显减少了医疗费用的支出（P〈0．01）。提示社区冠心病患者的规范管理方案有利于控制和预防冠心病的发生和发展。Five hundred and twenty two coronary heart disease （CHD） patients in Yuetan Community of Beijing during January 2005 to December 2007 were divided into two groups： 234 patients received standardized management and 288 patients received routine management as the control group. The quality of life and the effectiveness of general management were compared between two groups after one year. The grade of quality of life in standardized management group was higher than that in routine management group （P 〈0. 05 or P 〈0.01 ）. The former was better than the latter in alleviating chest distress and breath- hold, decreasing blood pressure, blood glucose and lipid, improving the electrocardiogram on the ST section and T wave （ P 〈 0. 05 or P 〈 0. 01 ） , and reducing the medical expenses （ P 〈 0. 01 ） . Standardized management is favorable in community management of patients with coronary heart disease.

关 键 词：冠状动脉疾病 疾病管理 

分 类 号：R541.4[医药卫生—心血管疾病] R155.5[医药卫生—内科学]