论文部分内容阅读
目的观察社区医疗干预对老年动脉硬化闭塞症患者的作用效果。方法选取与我院相邻的甲乙两个社区,对社区内65岁以上老人进行免费检查,采用便携式多普勒血压计测量踝肱指数(ABI),当ABI≤0.9时转入我院专科门诊行进一步详细检查(如下肢血管彩超、CT或MRI血管造影等),明确诊断,并建立档案。甲社区患者作为干预组患者处理,每2个月电话或上门访视一次,根据患者个体情况,随时改变医疗干预措施,随访6～18个月,平均13.5个月;乙社区未行任何干预,作为对照组。对两组干预前后的激光多普勒血流灌注量、踝肱指数、跛行距离、截肢率进行比较。结果干预组各指标干预前后效果显著,有统计学意义,而对照组则指标变化不大,效果不明显,且两组研究终点时,各指标差异有统计学意义。结论社区医疗干预对老年动脉硬化闭塞症有良好的治疗作用,有条件的地区应积极开展。
Objective To observe the effect of community medical intervention on senile arteriosclerosis obliterans. Methods Two communities A and B adjacent to our hospital were selected to conduct free examination of the elderly over 65 in the community. The ankle-brachial index (ABI) was measured with a portable Doppler sphygmomanometer. When the ABI was ≤0.9, Further detailed examination (such as lower extremity vascular ultrasound, CT or MRI angiography, etc.), a clear diagnosis, and the establishment of the file. A community patients treated as intervention group, every 2 months by telephone or visit home visits, according to individual patients at any time change the medical interventions, followed up for 6 to 18 months, an average of 13.5 months; B community without any intervention, As a control group. Laser Doppler perfusion, ankle brachial index, limp distance and amputation rate were compared between the two groups before and after intervention. Results The intervention group had significant effect before and after intervention, while the control group showed little change in the index, the effect was not obvious, and the difference between the two groups was statistically significant. Conclusion Community medical intervention has a good therapeutic effect on senile arteriosclerosis obliterans. Patients in favorable conditions should be actively carried out.