孝感市某医院2715例体检者慢病风险评估及健康管理研究  

Study on Risk Assessment and Health Management of Chronic Disease among 2715 Physical Examination Population in a Certain Hospital,Xiaogan

作　　者：张桂兰[1] 邹永光[1] 陈叶坪[2] 韩淑芳[2] 李海波[1] 罗望翠[1] 刘芳[1] 黄秀芳[1] 张薇 郭刚 

机构地区：[1]华中科技大学同济医学院附属孝感医院,孝感432000 [2]湖北工程学院,孝感432000 [3]湖北省孝感市医保局,孝感432000

出　　处：《医学与社会》2015年第4期71-74,78,共5页Medicine and Society

基　　金：孝感市科技局基金支撑项目;编号为2011XKF041

摘　　要：目的:探索建立一个基于医院体检中心的检后服务模式,并将此模式用于常见慢性非传染性疾病的健康管理。方法:将研究人群分为健康管理组和常规体检对照组。对健康管理组在常规体检的基础上,进行疾病风险评估和中医体质测评,检后进行健康管理。统计连续3年完成体检和随访的两组人群管理前后各项体检指标、生活方式、常见慢性疾病高风险比例以及医疗费用的变化。结果:干预后健康管理组人群2型糖尿病、高血压病、中风、冠心病及肺癌、肝癌、胃癌、肠癌、乳腺癌的患病高风险比例显著下降(P<0.05);生活方式(运动及饮食习惯、吸烟、过量饮酒)有明显改善(P<0.05);其中代谢综合症高危人群体重指数、收缩压、舒张压、甘油三酯、总胆固醇、低密度脂蛋白、尿酸显著降低(P<0.05);腰围、空腹血糖的下降和高密度脂蛋白的升高均具有显著性(P<0.01);管理组医疗费用控制比对照组更理想(P<0.05)。结论:以网络为依托,采取中西医结合的方式对体检人群进行检后健康管理,可以有效降低常见慢性病的发病风险,符合费用效果和费用效益原则,可用于医院体检中心检后健康管理。Objective： To explore the establishment of a hospital medical center of after service mode,and this model for health management of common chronic non- communicable diseases. Methods： The study population was divided into health management intervention group and routine group,the health management group based on routine physical examination. For assessment of the risk of disease and TCM physique,after the examination of health management. The two groups before and after the intervention of statistics for three years to complete the examination and follow- up of the physical indicators,way of life,a common chronic disease in high risk ratio and the change of medical expenses. Results： The prevalence of high risk ratio of this group of type 2 diabetes,hypertension,stroke,coronary heart disease and lung cancer,liver cancer,gastric cancer,breast cancer and health management intervention decreased significantly（ P〈0. 01 or P〈0. 05）; Part of lifestyle（ exercise and dietary habits,smoking,Excessive drinking） have significantly improved（ P〈0. 01 or P〈0. 05）; The metabolic syndrome high risk population of body mass index,systolic blood pressure,diastolic blood pressure,triglyceride,total cholesterol,low density lipoprotein,uric acid significantly decreased（ P〈0. 05）; A significant decrease of waist circumference,fasting blood glucose and high density lipoprotein（ P〈0. 01）; Medical costs three years assistance decreased significantly（ P〈0. 05）; The intervention group medical cost control than the control group（ P〈0. 05）more ideal. Conclusion： In the network information platform,taking a combination of Chinese and Western Medicine on physical examination population health management effectively reduce the risk of chronic disease,it will be fil with cost effectiveness and cost benefit principle,and be used for hospital physical examination center examination health management.

关 键 词：慢性病管理 疾病风险评估 中医体质测评 健康管理 

分 类 号：R197.323.2[医药卫生—卫生事业管理]