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目的:探讨自拟滋阴清心汤饮食和运动干预对代谢综合征患者自测健康的影响,为社区护理提供理论依据。方法:所有病例均在停用影响血糖及胰岛素功能的药物及上服用服用滋阴清心汤,干预组在此基础上给予社区干预模式干预。结果:干预后MS患者知识、社区管理评分方面,客观支持、主观支持、支持利用度方面,干预组与对照组比较差异有统计学意义(P<0.05);治疗后,两组MS患者血清IR指数、瘦素、TNF-a、脂联素与治疗前均有明显改善在统计学上有明显差异(P<0.05),治疗组在治疗后与对照组在统计学上有明显差异(P<0.05)。结论:社区干预与滋阴清心汤等综合干预能明显改善MS患者TNF-a、瘦素、脂联素水平,减少心脑血管意外,提高整个社区的健康意识。
Objective: To explore the influence of Ziyin Qingxin Decoction diet and exercise intervention on self-rated health of patients with metabolic syndrome, and to provide theoretical basis for community nursing. Methods: All patients were stopped using drugs that affect blood glucose and insulin function and taking Ziyinqingxin Decoction. The intervention group was given community intervention intervention. Results: There was significant difference between intervention group and control group in terms of knowledge of MS patients, score of community management, objective support, subjective support and utilization of intervention after intervention (P <0.05). After treatment, serum IR The index, leptin, TNF-a and adiponectin in both groups were significantly different from those before treatment (P <0.05), and there was a statistically significant difference between the treatment group and the control group after treatment (P < 0.05). Conclusion: The intervention of community intervention and Ziyinqingxin Decoction could significantly improve the levels of TNF-α, leptin and adiponectin in MS patients, reduce the cardiovascular and cerebrovascular accidents, and improve the health awareness of the whole community.