| 引用本文:谢玉晗1，张允岭1，张志辰1，金香兰1，盛雪2，杨秀泉2，杨阳3，李涛4，王建伟5.北京市丰台社区脑卒中高危人群跟踪随访3年调查报告[J].世界中医药,2016,(01):. |
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| 北京市丰台社区脑卒中高危人群跟踪随访3年调查报告 |
| Investigation Report on Three Years Follow up of High Risk Population of Stroke in Feingtai Community |
| 投稿时间：2015-12-28 |
| DOI：10.3969/j.issn.1673-7202.2016.01.008 |
| 中文关键词: 脑卒中高危人群 社区干预 生化指标 症状 舌脉 中医证候 |
| English Keywords:High risk group of Stroke Community interventions Biochemistry index Symptoms Tongue examination TCM syndrome |
| 基金项目:2011年医改重大专项“国家脑卒中高危人群筛查与干预试点项目”；北京中医药大学研究创新团队项目（编号：2011 CXTD 23）；2011年北京市科技计划项目（编号：Z111107056811040）；2014年中医药行业专项（编号：201407100） |
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| 中文摘要: |
| 目的：初步探讨社区干预对脑卒中高危人群的生化指标、中医症状及舌脉的影响,为中医药防治脑卒中提供依据。方法：结合卫计委关于“十二五”医改重大专项“脑卒中高危人群筛查和干预项目”的工作，选取北京市丰台区王佐镇社区卫生服务中心脑卒中高危人群562例,之后对高危人群通过生活方式健康宣教、药物指导、定期复查随访等方面进行社区预防综合干预，观察比较干预前后的生化指标变化及中医症状、舌脉、证类分布的频数特征。结果：社区干预3年后,低密度脂蛋白（LDL C）水平显著降低(P<0.05)，高密度脂蛋白（HDL C）水平显著升高（P<0.05）；按照各症状及舌脉象出现的频次高低排列，出现频率>30%的中医症状及舌脉干预前为12项，干预后为10项。形体肥胖、口唇紫暗、腰膝酸软等检出率干预后显著低于干预前(P<0.01),舌质红、苔薄白等检出率干预后显著低于干预前(P<0.01)；脉弱等的检出率干预后明显低于干预前(P<0.01)。结论：脑卒中高危人群社区干预模式有一定效果，对血脂降低有显著影响；气虚血瘀证明显减少，并能有效提高脑卒中发病预警知识的知晓率，改善脑卒中高危人群的生活质量。 |
| English Summary: |
| To explore the effects of community interventions on biochemistry index(BMI), Traditional Chinese Meicine(TCM) symptoms and tongue examination results of high risk group of stroke, and thus to provide references for TCM prevention and treatment of stroke. Methods:A total of 562 cases of high risk group of stroke were selected from Wangzuo community health service center and were treated with comprehensive community interventions, including healthy lifestyle education, drug instruction and regular review and follow up. The changes of BMI and TCM syndrome, tongue examination and syndrome differentiation were compared. Results:After three years of community inventions, the level of low density lipoprotein(LDL C) was significantly reduced(P<0.05) and the level of high density lipoprotein(HDL C) was raised markedly(p<0.05). After ranking the results of different symptoms and tongue examination by frequency, it showed that there were 12 items with over 30% frequency before the interventions and only 10 items after that. The frequencies of obesity, dark purple lips, soreness and weakness of waist and knees after community invention are significantly lower than before(P<0.01), as well as red tongue and thin white tongue coating(P<0.01). In addition, the frequency of weak pulse after inventions is obviously reduced(P<0.01). Conclusion:Community interventions have positive effects on high risk group of stroke, especially in the aspects of lowering blood lipids and reducing the symptom of blood stasis due to qi deficiency. It also can effectively improve the peoples awareness on stoke, and at the same time, to improve the living standards of people in high risk group of stroke. |
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