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健康管理對(duì)頸動(dòng)脈狹窄患者血脂水平及頸動(dòng)脈斑塊的影響

發(fā)布時(shí)間:2018-11-18 09:22
【摘要】:目的探討健康管理對(duì)頸動(dòng)脈狹窄患者血脂水平及頸動(dòng)脈斑塊的影響。方法將180例頸動(dòng)脈狹窄患者分為健康管理組(90例)及常規(guī)治療組(90例)。兩組均給予常規(guī)治療,健康管理組進(jìn)行連續(xù)12個(gè)月的健康管理。于治療前及治療后第6、12個(gè)月檢測(cè)患者的總膽固醇(TC)、三酰甘油(TG)、高密度脂蛋白膽固醇(HDL-C)、低密度脂蛋自膽固醇(LDL-C)水平;采用頸動(dòng)脈彩色多普勒超聲檢測(cè)其頸動(dòng)脈情況。結(jié)果健康管理組及常規(guī)治療組治療第6、12個(gè)月TC、TG、LDL-C水平顯著低于治療前,HDL-C水平顯著升高(均P0.05)。兩組間治療前及治療第6個(gè)月TC、TG、HDL-C及LDL-C水平差異無(wú)統(tǒng)計(jì)學(xué)意義(均P0.05)。健康管理組治療第12個(gè)月TC、TG及LDL-C水平較常規(guī)治療組顯著降低,HDL-C水平顯著升高(均P0.05)。健康管理組及常規(guī)治療組治療前與治療第6個(gè)月Crouse斑塊積分差異無(wú)統(tǒng)計(jì)學(xué)意義(均P0.05)。健康管理組治療第12個(gè)月Crouse斑塊積分顯著低于治療前(均P0.05)。兩組間治療前及治療第6個(gè)月Crouse斑塊積分差異無(wú)統(tǒng)計(jì)學(xué)意義(均P0.05)。健康管理組治療第12個(gè)月Crouse斑塊積分顯著低于常規(guī)治療組(P0.05)。結(jié)論長(zhǎng)期健康管理干預(yù)可以降低頸動(dòng)脈狹窄患者的血脂水平,改善頸動(dòng)脈斑塊情況。
[Abstract]:Objective to investigate the effect of health management on blood lipid level and carotid plaque in patients with carotid artery stenosis. Methods 180 patients with carotid artery stenosis were divided into health management group (90 cases) and routine treatment group (90 cases). Both groups were given routine treatment, the health management group for 12 months of continuous health management. The levels of total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL-C) and low density egg self cholesterol (LDL-C) were measured before and 6 and 12 months after treatment. Carotid artery was detected by color Doppler ultrasound. Results the level of TC,TG,LDL-C in health management group and routine treatment group was significantly lower than that before treatment at the 6th and 12th month (P0.05). There was no significant difference in TC,TG,HDL-C and LDL-C levels between the two groups before and after treatment (P0.05). The levels of TC,TG and LDL-C in the health management group were significantly lower than those in the routine treatment group at the 12th month after treatment (P0.05). There was no significant difference in Crouse plaque score between health management group and routine treatment group before treatment and 6 months after treatment (P0.05). The score of Crouse plaque in the health management group was significantly lower than that before treatment at the 12th month (P0.05). There was no significant difference in Crouse plaque score between the two groups before and after treatment (P0.05). The score of Crouse plaque in the health management group was significantly lower than that in the routine treatment group at 12 months (P0.05). Conclusion long-term health management intervention can reduce blood lipid level and improve carotid plaque in patients with carotid artery stenosis.
【作者單位】: 南京醫(yī)科大學(xué)附屬腦科醫(yī)院《臨床神經(jīng)病學(xué)雜志》編輯部;南京大學(xué)醫(yī)學(xué)院附屬金陵醫(yī)院(南京總醫(yī)院)干部神經(jīng)內(nèi)科;
【基金】:總后保健專項(xiàng)課題(15BJZ10)
【分類號(hào)】:R473.74

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