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目的评价常规干预对脑卒中高危人群的干预效果,为制定脑卒中的干预措施提供依据。方法采用健康教育、药物干预等方法对干预前后1年脑卒中高危人群的体质指数、血压、血脂、血糖、尿酸等脑卒中高危因素进行效果评价。结果在996名被检者中,有脑卒中高危因素者662例,检出率为66.47%。干预1年前后结果显示,总胆固醇由(5.20±0.92)mmol/L降至(5.05±0.96)mmol/L,尿酸由(316.92±85.29)μmol/L降至(300.48±96.85)μmol/L,差异均有统计学意义(P<0.01),但血压、血糖、体质指数、低密度脂蛋白胆固醇、甘油三酯等干预无效果。结论常规干预很难改变人群的生活习惯,有效控制脑卒中危险因素的方法需进一步探讨。
Objective To evaluate the intervention effect of routine intervention on high-risk stroke population and provide basis for making stroke intervention. Methods The effects of health education and drug intervention on the risk factors of stroke, such as body mass index, blood pressure, blood lipid, blood sugar and uric acid, were evaluated by one year before and after the intervention. Results Among 996 subjects, 662 were high risk factors for stroke, with a detection rate of 66.47%. The results of one year before and after intervention showed that total cholesterol decreased from (5.20 ± 0.92) mmol / L to (5.05 ± 0.96) mmol / L, and uric acid decreased from (316.92 ± 85.29) μmol / L to (300.48 ± 96.85) (P <0.01), but no effect of blood pressure, blood glucose, body mass index, low density lipoprotein cholesterol, triglyceride and other interventions. Conclusion Conventional intervention is difficult to change the living habits of the population, and the effective control of stroke risk factors need to be further explored.