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目的探讨社区干预对冠状动脉粥样硬化性心脏病治疗的辅助作用。方法将125例冠状动脉粥样硬化性心脏病患者分为干预组65例、对照组60例,对干预组进行运动、心理、饮食等方面进行指导,对照组维持原有治疗方案和相关健康知识教育。结果与干预前相比,干预组干预后全血比黏度、纤维蛋白原、血糖浓度、总胆固醇、三酰甘油都有所下降,高密度脂蛋白升高,差异均有统计学意义(P<0.01),干预后干预组全血比黏度、纤维蛋白原、血糖浓度、总胆固醇、三酰甘油低于对照组,高密度脂蛋白高于对照组,差异具有统计学意义(P<0.05),对照组干预后的全血比黏度、纤维蛋白原、总胆固醇浓度与干预前相比差异显著,具有统计学意义(P<0.01),血糖、三酰甘油和高密度脂蛋白与干预前相比,差异不具有统计学意义(P>0.05)。干预后,干预组心率失常减少与对照组相比差异具有统计学意义(P<0.05)。结论社区干预可以降低患者心率失常,调节血糖、血脂等生化指标,养成健康的生活习惯,提高治疗效果。
Objective To explore the effect of community intervention on the treatment of coronary atherosclerotic heart disease. Methods A total of 125 patients with coronary atherosclerotic heart disease were divided into intervention group (n = 65) and control group (n = 60). The intervention group was guided by exercise, psychology and diet. The control group maintained the original treatment plan and related health knowledge education. Results Compared with those before intervention, whole blood viscosity, fibrinogen, blood glucose, total cholesterol, triglyceride and high density lipoprotein increased after intervention in intervention group, the difference was statistically significant (P < 0.01). After intervention, the whole blood viscosity, fibrinogen, blood glucose, total cholesterol and triglyceride in the intervention group were lower than those in the control group and high-density lipoprotein, the difference was statistically significant (P <0.05) The difference of whole blood viscosity, fibrinogen and total cholesterol in the control group after intervention was statistically significant (P <0.01), and the levels of blood glucose, triglyceride and high density lipoprotein , The difference was not statistically significant (P> 0.05). After the intervention, the difference between the intervention group and the control group was statistically significant (P <0.05). Conclusion Community intervention can reduce the patient’s arrhythmia, regulate blood glucose, blood lipid and other biochemical indicators, develop healthy habits and improve the therapeutic effect.