综合干预方案在老年腹型肥胖合并冠心病患者中的应用研究  

Application of comprehensive intervention program in elderly patients with abdominal obesity complicated with coronary heart disease

作　　者：张佳蓓 周霄云[1] 郝爱霞[1] Zhang Jiabei;Zhou Xiaoyun;Hao Aixia(Department of Cardiovascular Medicine,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200021,P.R.China)

机构地区：[1]上海中医药大学附属曙光医院心血管内科,上海200021

出　　处：《老年医学与保健》2025年第1期141-145,共5页Geriatrics & Health Care

摘　　要：目的观察综合干预方案对老年腹型肥胖合并冠心病患者血脂和生活质量的影响,以期为临床患者的诊疗提供方法。方法前瞻性选择2023年6月—2024年1月在上海中医药大学附属曙光医院接受治疗的老年腹型肥胖合并冠心病患者130例,按照随机数字表法分为观察组(n=65)和对照组(n=65)。2组患者在接受相同常规治疗的基础上,对照组患者行常规护理干预,观察组实施综合干预方案,2组均连续干预8周。记录并比较2组患者干预前后肥胖指标、血脂指标值和生活质量评分情况。结果干预后,2组患者体质量、BMI、腰围和腰臀比均低于同组干预前(P<0.05),且观察组体质量、BMI、腰围和腰臀比均低于对照组(P<0.05);2组患者血清HDL-C水平均高于同组干预前(P<0.05),LDL-C、TC、TG水平均低于同组干预前(P<0.05),而观察组HDL-C水平高于对照组(P<0.05),LDL-C、TC、TG水平均低于对照组(P<0.05);2组患者工作状况、体力状况、社会心理状况、病情状况、一般生活状况、医疗状况及总评分均高于同组干预前(P<0.05),且观察组评分均高于对照组(P<0.05)。结论综合干预方案对老年腹型肥胖合并冠心病患者的肥胖与血脂指标改善效果可能更好,并有助于提高患者的生活质量。Objective To analyze the effects of comprehensive intervention program on blood lipid and quality of life in elderly patients with abdominal obesity complicated with coronary heart disease(CHD),and provide a new idea for clinical diagnosis and treatment of patients.Methods A prospective study enrolled 130 elderly patients with abdominal obesity complicated with CHD treated in Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from June 2023 to January 2024.They were randomly divided into observation group(n=65)and control group(n=65)by the random number table method.Both groups received identical conventional treatment.The control group received routine nursing care,while the observation group implemented a comprehensive intervention program.Both groups were intervened for 8 weeks.The obesity indexes,lipid indexes,and quality of life score were compared between the two groups before and after the intervention.Results After the intervention,the body weight,BMI,waist circumference and waist-to-hip ratio in both groups were lower than those in the same group before the intervention(P<0.05),and the observation group was lower than the control group(P<0.05).The serum HDL-C levels in both groups were higher than those in the same group before the intervention(P<0.05),and the levels of LDL-C,TC and TG were lower than those in the same group before the intervention(P<0.05).The HDL-C level in the observation group was higher than that in the control group,and the levels of LDL-C,TC and TG were lower than those in the control group(P<0.05).The scores of working status,physical status,social psychological status,disease status,general living status,medical status and total score in both groups were higher than those in the same group before the intervention(P<0.05),and the observation group was higher than the control group(P<0.05).Conclusion The comprehensive intervention program has better effect on the improvement of obesity and lipid indexes in elderly patients with abdominal obesity com

关 键 词：老年 腹型肥胖 冠心病 综合干预 生活质量 

分 类 号：R473.5[医药卫生—护理学]