慢性代谢紊乱疾病149例患者的健康管理效果分析

目的探讨对慢性代谢紊乱疾病患者进行疾病危险因素干预的有效健康管理服务模式。方法设置标准检测项目进行健康信息采集，输入健康管理信息系统，进行量化健康评估，对检出患慢性代谢紊乱疾病包括单纯收缩期高血压、高脂血症、高血糖症、高尿酸血症及脂肪肝的149例患者，按病种分成5组，进行疾病危险因素干预，并对干预效果进行评价。结果干预前后主要观察指标包括血压、血液生化检测指标胆固醇、甘油三酯、低密度脂蛋白、空腹血糖、尿酸、丙氨酸转氨酶以及B超检查结果均提示差异有统计学意义（t=7．0127、6．7308、4．4037、6．2043、8．8821、9．1150、24．4680，χ^2=18．4892，P〈0．05）。结论对慢性代谢紊乱疾病患者采用疾病危险因素干预的健康管理服务模式有效可行。

Analysis of the health management results of 149 cases of chronic metabolic diseases

Objective To discuss an effective and practicable mode of health management service by preventing the dangerous factors from causing diseases for 149 sufferer of chronic metabolic diseases and analyzing the results of such prevention. Methods Set standard examining items for collecting health information, which will be input the health information managing system and then be quantitatively assessed. The number of those who have isolated systolic hypertension and chronic metabolic disturbance disease, including hyperlipemia, hyperglycemia, hyperurieemia and fatty liver is 149. These people will be divided into 5 groups and preventions will be conducted against those dangerous factors which could lead to diseases. The results of such prevention will be assessed later. Results Significant changes have been shown in the observation indexes including blood pressure, total cholesterol （ CT ）, triglycerides （ TG ）, low density lipoprotein cholesterol（ HDL-ch）, fasting blood glucose （FBG）, uric acid （UA）, alanine aminotransferase （ALT） and ultrasound scan after the abovementioned preventions. Conclusion The mode of health management service mentioned in this article is effective and practicable.