社区干预措施对TIA发作预防效应的临床研究  

Effect Evaluation of Community Intervention to TIA Prevention

作　　者：何佳[1] 周建伟[2] 左甲[1] 唐昊[1] 

机构地区：[1]成都中医药大学 [2]四川省中医药科学院,四川成都610041

出　　处：《辽宁中医杂志》2012年第5期854-855,共2页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家公益性行业科研专项课题(200707019)

摘　　要：目的:在TIA患者常规治疗的基础上,对其进行社区干预,评价社区干预措施在预防TIA发作中的影响。方法:将2008年12月—2010年12月,于成都市青羊区新华社区和草市御河社区卫生服务中心收集的120例TIA受试者,随机分至社区措施干预组(干预组),非社区措施干预组(对照组),各60例。干预组在常规TIA治疗的基础上,进行社区干预措施(健康教育、生活方式引导、正规治疗);对照组不进行社区干预,保持原有生活习惯和治疗手段不变。结果:①6个月后,干预组在控制血压方面优于对照组(P<0.05),但在控制餐后2h血糖、血脂、心电图方面与对照组没明显差异(P>0.05);②6个月后,干预组在TIA和中风的发生情况方面优于对照组(P<0.05);③与对照组相比,干预组可明显降低TIA的发生频率(P<0.05),但在TIA发作持续时间方面没明显差异(P>0.05)。结论:通过社区措施对TIA患者进行干预,可以良好的控制TIA患者的血压,并减少TIA的发作次数,降低TIA和中风的发生率,降低医疗成本,减轻患者和社会的负担,具有广阔的前景和推广价值。Objective：Community intervention was adopted to TIA patients on the basis of regular treatments and its effects on TIA prevention were evaluated.Methods：120 TIA cases recruited in Qingyang Community Health Centre and Caoshi Community Health Centre were randomly divided into community intervention group（n=60）and non-community intervention group（n=60）.The former group was added community intervention（including healthcare education and life style guidance）besides regular treatments.The later group was treated by regular methods only.Results：After the course of six-month treatment,blood pressure control of the community intervention group was better than that of the other group（P0.05）.Meanwhile,TIA and stroke occurrence of the community intervention group were better than that of the other group（P0.05）.There was no difference in duration time of TIA occurrence between the two groups（P0.05）.Conclusion：Community intervention could result in a nice blood pressure control,reduce TIA and stroke occurrence rate and cut medical cost,which has a promising future and promotional value.

关 键 词：TIA 社区干预措施 预防效应 

分 类 号：R2-03[医药卫生—中医学]