健康管理对心血管病的危险因素干预效果及随访研究  

Effect of health management on risk factors of cardiovascular diseases and follow-up study

作　　者：郭来敬[1] 刘曌竹[1] 马晓婧[1] 郭建霞 李景芳[1] 周志阳[1] 牛春生 王昀[1] GUO Lai-jing ,LIU Zhao-zhu ,MA Xiao-jing ,GUO Jian-xia ,LI Jing-fang , ZHOU Zhi-yang ,NIU Chun-sheng ,WANG Yun(Medical Examination Center, Shougang Hospital of Beijing University, Beijing , 100144 Chin)

机构地区：[1]北京大学首钢医院体检中心,北京100144

出　　处：《中国冶金工业医学杂志》2018年第2期125-127,共3页Chinese Medical Journal of Metallurgical industry

基　　金：北京大学首钢医院临床重点项目(项目编号:2014-院-临床-07)

摘　　要：目的通过对比分析健康管理对心血管危险因素的聚集情况,评价健康管理的干预效果。方法以471名体检人群为研究对象,分析12种(吸烟、饮酒、少活动、体质指数、血压、血脂、血糖、血尿酸、同型半胱氨酸、脂肪肝、骨密度异常及动脉硬化检测异常)心血管危险因素的分布与聚集情况,同时对健康管理干预前后的效果进行分析,并提出相应的健康管理方案建议。结果(1)干预前、后均存在严重的心血管危险因素聚集现象,研究人群中0~2项危险因素分别为21.44%、19.32%,同时具有3种及以上危险因素的分别占有78.56%、80.68%;(2)干预后空腹血糖受损、血压正常高值检出率明显降低,高血压治疗达标率显著增高,均P<0.05;高尿酸、活动少略有增加,但差异无统计学意义(P>0.05);高同型半胱氨酸增加(P<0.05),其他吸烟、饮酒、脂肪肝、新发高血压、高血糖等干预前后均无统计学意义(P>0.05)。结论开展健康管理是预防和遏制心血管危险因素发生、发展的有效途径,尤其对血压、血糖的改善更为显著。Objective To evaluate the intervention effect of health management on cardiovascular risk factors by compared and analyzed. Methods 471 with physical examination were studied. The distribution and aggregation of 12 cardiovascular risk factors （smoking, alcohol consumption,physical activity, body mass index, blood pressure, blood lipids, blood glucose, uric acid, homocysteine, fatty liver, abnormal bone mineral density and atherosclerosis）were analyzed. Meanwhile,the intervention effect of health management was analyzed, and the corresponding health management plan was put forward. Results （1）There were significant cardiovascular risk factors before and after the intervention. The risk factors of 0-2 were 21.44% and 19.32% respectively,and 3 or more of these risk factors were 78. 56% and 80.68% respectively. （2）The detection rate of impaired fasting glucose （IFG）, high-normal blood pressure after the intervention were significantly lower（P〈 0. 05）, the treatment compliance rate of hypertension was significantly higher （P〈 0. 05） ;the detection rate of high homocysteine increased（P 〈 0.01）, high uric acid,less activity were higher slightly （P〉0.05）. Other smoking, alcohol consumption, fatty liver, new hypertension and hyperglycemia decreased before and after the intervention,hut there was no significant dlfference（P〉0.05）. Conclusion Health management may provide an effective way to prevent and control the cardiovascular risk factors.

关 键 词：体检 危险因素 聚集 健康管理模式 

分 类 号：R543[医药卫生—心血管疾病]