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目的研究社区健康管理模式对高血压患者微炎症状态及胰岛素抵抗的影响。方法选择2013年5月-2015年10月就诊的140例原发性高血压患者作为研究对象,采用随机数表法分为实验组和对照组,实验组参照社区健康管理模式进行干预,对照组进行常规的用药、运动、饮食指导,比较2组患者血压水平、微炎症状态以及胰岛素抵抗的差异。结果干预后,实验组患者的SBP、DBP以及血清CRP、IL-18、ET-1含量显著低于对照组,HOMA-β显著高于对照组、HOMOA-IR显著低于对照组,差异均有统计学意义(P<0.05)。结论社区健康管理模式能够降低高血压患者的血压水平、减轻微炎症状态以及胰岛素抵抗,具有积极的应用价值。
Objective To study the effect of community health management on microinflammatory state and insulin resistance in hypertensive patients. Methods A total of 140 patients with essential hypertension treated in our hospital from May 2013 to October 2015 were selected as study subjects and divided into experimental group and control group using random number table method. The experimental group interfered with community health management mode, and the control group Conducted routine medication, exercise, diet guidance, comparing the two groups of patients with blood pressure levels, micro-inflammatory status and insulin resistance differences. Results After intervention, the levels of SBP and DBP, serum CRP, IL-18 and ET-1 in the experimental group were significantly lower than those in the control group, and HOMA-β was significantly higher than that in the control group, and HOMOA-IR was significantly lower than that in the control group Statistical significance (P <0.05). Conclusion Community health management model can reduce the blood pressure in patients with hypertension, reduce the status of micro-inflammation and insulin resistance, and has a positive application value.