陆家嘴社区高脂血症200例社区综合防治研究

目的探讨社区综合防治干预对高脂血症患者的降脂效果。方法采用健康教育讲座或面对面健康咨询指导,结合饮食控制,治疗性生活方式改变（TCL）药物综合防治措施。在入组时和干预后12个月分别测定血脂,血糖,体重,血压及高脂血症的知识水平,饮食情况指标。结果干预后高脂血症患者相关的知识水平,饮食合格率较干预前明显增加（P〈0.001）,血三酰甘油TG,血总胆固醇TCH和血LDL-C水平较干预前有明显降低（P〈0.05）,血脂控制达标率有明显提高（P〈0.001）。结论高脂血症患者社区综合防治干预方法是有效的,饮食控制和治疗性生活方式改变（TCL）是血脂异常治疗的积极有效的基础措施。

Lujiazui Community Hyperlipidemia 200 Cases of Community the Comprehensive Prevention and Control

Objective Comprehensive prevention and control of community intervention on lipid-lowering effect in patients with hyperlipidemia.Methods Health education talks or face to face with health counseling,combined with diet control,therapeutic life style changes(TCL),drug comprehensive control measures.In the income group and 12 months after intervention were measured lipids,glucose,body weight,blood pressure and hyperlipidemia level of knowledge,diet indicators.Results Intervention in patients with hyperlipidemia associated level of knowledge,dietary compliance rate than before intervention significantly increased(P<0.001).Blood triglyceride TG,total cholesterol and blood TCH,LDL-C level was significantly lower than before intervention(P<0.05).Blood lipid control improve significantly the compliance rate(P<0.001).Conclusion Community control in patients with hyperlipidemia intervention is effective,diet control and treatment of lifestyle changes(TCL) is the treatment of dyslipidemia based on the positive and effective measures.