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出 处:《山东医学高等专科学校学报》2016年第4期277-280,共4页Journal of Shandong Medical College
基 金:山东省保健医学科研课题项目(No.2013BJYB04)
摘 要:目的 探讨健康体检报告给出的个体化健康建议在改善心脑血管疾病危险因素方面所发挥作用,并与体检报告健康建议+随访、提醒复查等综合健康管理措施相对比,探讨两种干预模式发挥作用的差异性。方法 利用体检软件信息统计系统及人工汇总筛选对两类保健人群符合统计条件研究对象的体检信息进行汇总并经统计学处理、分析,得出每组人群干预前后各项危险因素变化,及两组人群经过不同措施干预后各项指标变化的差异性。结果 41~50岁年龄段干预前后两年的数据显示各项指标无明显差异性(P〉0.05),51~60岁年龄段各项研究指标改善情况略好于41~50岁年龄段,差异不显著(P〉0.05)。两类保健群组不同干预措施的干预结果有明显的差异性(P〈0.05)。各项指标中各年龄段血压、血脂、同型半胱氨酸改善有明显统计学意义(P〈0.01),肥胖和血糖改善统计学差异不明显(P〉0.05)。结论 体检报告中的健康建议在心脑血管疾病危险因素干预中发挥积极作用,随访等全面健康管理措施发挥了更为重要的作用,值得临床推广和应用。Objective To explore the intervention effect of the individualized health advice given in the health examination reports and to compare the effects with those got from the comprehensive health inter‐vention approach of health examination reports ,follow‐up surveys and reexamination reminding .Methods The medical statistical information software system and manual collection of the screening results were used to compare the intervention effects got from the two kinds of intervention approach . Results People aged 41‐50 showed no significant differences in the indicators be‐fore and after the two‐year interventions between the two groups .People aged 51‐60 got improved ,slight‐ly better than people aged 41‐50 ,but not of significance .The two types of health group showed different intervention results .The indexes of blood pressure ,blood lipid and homocysteine were significantly im‐proved ,and there was no significant difference in obesity and blood glucose .Conclusion Health recommen‐dations in the physical examination report play an active role in the intervention of cardiovascular disease risk factors ,and comprehensive health intervention plays a more important role .
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