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目的:观察并分析社区干预管理模式联合中草药干预对血脂异常的临床效果,从而建立一套完整的、规范化干预管理方案,为血脂管理提供依据和指导。方法:依据纳入排除标准共选取本社区602例已确诊的血脂异常患者,并随机分为两组,按照规范的随访和管理流程对其进行干预管理,其中对照组给予单纯的社区干预管理,研究组给予社区干预管理模式联合中草药干预管理,进行为期两年的干预管理后对干预效果进行对比和分析。结果:制定了血脂异常的干预管理方案,构建了规范化的随访管理流程;研究组患者干预后满意度得分(7.3±1.0)和满意率(90.4%)均高于对照组(4.9±1.5)、(62.8%),均有统计学差异(P<0.05);研究组干预总有效率(91.1%)显著高于对照组(65.8%),有统计学差异(P<0.05);研究组患者治疗后各项血脂含量明显低于治疗前,而高密度脂蛋白增加;对照组治疗后血脂状况变化不大,组间有统计学差异,(P<0.05)。结论:社区干预管理模式联合中草药干预在管理血脂异常中具有显著效果,不仅提高了血脂异常患者的服药和治疗依从性,而且对于当前迫切需要解决的我国社区居民血脂异常监测、干预和预防,均具有重要的现实意义,值得在各个社区进行广泛的推广。
OBJECTIVE: To observe and analyze the clinical effect of community intervention management mode combined with Chinese herbal medicine intervention on dyslipidemia, so as to establish a complete and standardized intervention management program and provide the basis and guidance for the management of blood lipid. Methods: A total of 602 patients with confirmed dyslipidemia in this community were selected according to inclusion criteria and randomly divided into two groups. According to the standard follow-up and management procedures, the patients were managed by intervention. The control group was given a simple community intervention management study Group to give community intervention management mode joint Chinese herbal intervention management, after a two-year intervention management comparison and analysis of the effect of intervention. Results: The intervention program of dyslipidemia was established and a standardized follow-up management procedure was established. The satisfaction score (7.3 ± 1.0) and satisfaction rate (90.4%) of the study group were higher than that of the control group (4.9 ± 1.5) (62.8%, P <0.05). The total effective rate of intervention group (91.1%) was significantly higher than that of control group (65.8%) (P <0.05) After each lipid level was significantly lower than before treatment, and high-density lipoprotein increased; control group after treatment, blood lipids did not change much, there was a statistically significant difference (P <0.05). Conclusion: Community intervention management model combined with Chinese herbal medicine intervention in the management of dyslipidemia has a significant effect, not only increased the dyslipidemia in patients taking medication and treatment compliance, but also for the urgent need to address the community residents dyslipidemia monitoring, intervention and prevention are It is of great practical significance and deserves wide promotion in various communities.