[1]闫 慧,吕风华.居民健康档案建立及健康管理对Framingham十年冠心病风险的影响[J].医学信息,2021,34(24):93-95.[doi:10.3969/j.issn.1006-1959.2021.24.021]
　YAN Hui,LYU Feng-hua.The Impact of Residents’ Health Records Establishment and Health Management on the Risk of Coronary Heart Disease in Framingham’s Ten Years[J].Medical Information,2021,34(24):93-95.[doi:10.3969/j.issn.1006-1959.2021.24.021]
点击复制

居民健康档案建立及健康管理对Framingham十年冠心病风险的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年24期
页码:
93-95
栏目:
论著
出版日期:
2021-12-15

文章信息/Info

Title:
The Impact of Residents’ Health Records Establishment and Health Management on the Risk of Coronary Heart Disease in Framingham’s Ten Years
文章编号:
1006-1959（2021）24-0093-03
作者:
闫 慧; 吕风华
（新乡医学院第一临床学院，河南 新乡 453000）
Author(s):
YAN Hui; LYU Feng-hua
(The First Clinical College of Xinxiang Medical College,Xinxiang 453000,Henan,China)
关键词:
健康档案; 健康管理; Framingham模型; 冠心病风险
Keywords:
Health records; Health management; Framingham model; Coronary heart disease risk
分类号:
R541.4
DOI:
10.3969/j.issn.1006-1959.2021.24.021
文献标志码:
A
摘要:
目的 利用居民健康档案数据，将公共卫生与临床疾病相结合，以Framingham十年冠心病风险系统为模型，探索居民健康档案建立及健康管理对心血管疾病风险的影响。方法 回顾性分析某社区建立健康档案并规范接受健康管理居民300名，年龄65岁以上，搜集其初次建档及接受健康管理1年后、2年后体检数据，利用Framingham十年冠心病风险模型，分析健康管理后各危险因素及冠心病发生风险的变化。结果 男性：健康管理1年后收缩压低于健康管理前，差异有统计学意义（P＜0.05），而高密度脂蛋白、总胆固醇、Framingham危险评分、危险比率与健康管理前比较，差异无统计学意义（P＞0.05）；健康管理2年后收缩压、危险评分及危险比率低于健康管理1年后，总胆固醇、收缩压、Framingham危险评分、危险比率均低于健康管理前，高密度脂蛋白高于健康管理前，差异有统计学意义（P＜0.05）。女性：健康管理1年后总胆固醇、收缩压、Framingham危险评分、危险比率均低于健康管理前，高密度脂蛋白高于健康管理前，差异有统计学意义（P＜0.05）；健康管理2年后收缩压低于健康管理1年后，差异有统计学意义（P＜0.05），总胆固醇、收缩压、Framingham危险评分、危险比率低于健康管理前，高密度脂蛋白高于健康管理前，差异有统计学意义（P＜0.05）。结论 居民健康档案建立及健康管理能改善疾病发生危险因素，降低冠心病发生风险，合理应用居民健康数据可以为我国居民疾病预防提供科学支持。
Abstract:
Objective To explore the impact of the establishment of resident health records and health management on the risk of cardiovascular diseases by using the data of resident health records, combining public health with clinical diseases, and taking the coronary heart disease risk system of Framingham ten years as the model.Methods A retrospective analysis was conducted on 300 residents aged over 65 who established health records and received standardized health management in a community. The physical examination data after the first filing and health management for one year and two years were collected. The changes of risk factors and coronary heart disease risk after health management were analyzed using the Framingham ten-year coronary heart disease risk model.Results Male: the systolic blood pressure after one year of health management was lower than that before health management, and the difference was statistically significant (P<0.05), while there was no significant difference in high-density lipoprotein, total cholesterol, Framingham risk score and risk ratio between 1 year after health management and before health management (P>0.05); after two years of health management, the systolic blood pressure, Framingham risk score and risk ratio were lower than those after one year of health management, total cholesterol, systolic blood pressure, Framingham risk score and risk ratio were lower than those before health management, high-density lipoprotein was higher than that before health management, and the difference was statistically significant (P<0.05). Female: total cholesterol, systolic blood pressure, Framingham risk score and risk ratio after one year of health management were lower than those before health management, and high-density lipoprotein was higher than that before health management, and the difference was statistically significant (P<0.05); after 2 years of health management, systolic blood pressure was lower than that after 1 year of health management, the difference was statistically significant (P<0.05); total cholesterol, systolic blood pressure, Framingham risk score and risk ratio were lower than those before health management, and high-density lipoprotein was higher than that before health management, the difference was statistically significant (P<0.05).Conclusion The establishment of residents ’ health records and health management can improve the risk factors of disease and reduce the risk of coronary heart disease. Reasonable application of residents ’ health data can provide scientific support for disease prevention in Chinese residents.

参考文献/References:

[1]魏咏兰,鹿茸,曾伟,等.成都市居民健康档案管理现状及对策分析[J].中国卫生事业管理,2011,28(5):392-393.[2]殷文军.个体PAHs暴露特征与血压、动脉粥样硬化性心血管疾病风险的影响因素研究[D].武汉:华中科技大学,2019.[3]Cybulska B,Kiosiewicz-Latoszek L.Landmark studies in coronary heart disease epidemiology. The Framingham Heart Study after 70 years and the Seven Countries Study after 60 years[J].Kardiol Pol,2019,77(2):173-180.[4]Schnabel RB,Yin X,Gona P,et al.50 year trends in atrial fibrillation prevalence, incidence, risk factors, and mortality in the Framingham Heart Study: a cohort study[J].Lancet,2015,386(9989):154-162.[5]孙照阳.4种不同风险评估模型评估贵阳地区40岁以上人群10年心血管发生风险的研究[D].贵阳:贵州医科大学,2018.[6]O’Doherty MG,Cairns K,O’Neill V,et al.Effect of major lifestyle risk factors, independent and jointly, on life expectancy with and without cardiovascular disease: results from the Consortium on Health and Ageing Network of Cohorts in Europe and the United States (CHANCES) [J].Eur J Epidemiol,2016,31(5):455-468.[7]O’Donnell MJ,Chin SL,Rangarajan S,et al.Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study[J].Lancet,2016,388(10046):761-775.[8]Nikitovic M,Brener S.Health technologies for the improvement of chronic disease management: a review of the Medical Advisory Secretariat evidence-based analyses between 2006 and 2011[J].Ont Health Technol Assess Ser,2013,13(12):1-87.[9]吴浩,刘新颖,张世红,等.“互联网+社区卫生健康管理服务”标准化建设指南(二期)[J].中国全科医学,2018,21(16):1891-1909.[10］宋露露.《社区人群心血管疾病综合防治指南（试行）》的评价研究[D].杭州:杭州师范大学,2017.[11]Sheppard JP,Schwartz CL,Tucker KL,et al.Modern Management and Diagnosis of Hypertension in the United Kingdom: Home Care and Self-care[J].Ann Glob Health,2016,82(2):274-287.[12]Coughlin SS,Prochaska JJ,Williams LB,et al.Patient web portals, disease management, and primary prevention[J].Risk Manag Healthc Policy,2017(10):33-40.

相似文献/References:

[1]刘静波,黄 萍,赵 静.应用微信平台对初发中青年2型糖尿病患者进行 健康管理模式的研究[J].医学信息,2018,31(14):98.[doi:10.3969/j.issn.1006-1959.2018.14.028]
　LIU Jing-bo,HUANG Ping,ZHAO Jing.Study on the Health Management Model of Young and Middle-aged Patients with Type 2 Diabetes Mellitus by WeChat Platform[J].Medical Information,2018,31(24):98.[doi:10.3969/j.issn.1006-1959.2018.14.028]
[2]李婷欣,刘玉萍,陈莞婧,等.两种营养干预方法对超重和肥胖者体重干预的效果研究[J].医学信息,2018,31(15):67.[doi:10.3969/j.issn.1006-1959.2018.15.021]
　LI Ting-xin,LIU Yu-ping,CHENG Wan-jing,et al.Effect of Two Nutritional Intervention Methods on Weight Intervention in Overweight and Obese Subjects[J].Medical Information,2018,31(24):67.[doi:10.3969/j.issn.1006-1959.2018.15.021]
[3]向 桢,安运锋,黄博玉,等.医院“互联网+”健康管理与服务的应用和思考[J].医学信息,2018,31(18):4.[doi:10.3969/j.issn.1006-1959.2018.18.002]
　XIANG Zhen,AN Yun-Feng,HUANG Bo-Yu,et al.Application and Thinking of Hospital"Internet+"Health Management and Service[J].Medical Information,2018,31(24):4.[doi:10.3969/j.issn.1006-1959.2018.18.002]
[4]王 雪,聂恒卓,卜秀梅,等.高校社区大学生体质健康管理模式的构建研究[J].医学信息,2019,32(02):11.[doi:10.3969/j.issn.1006-1959.2019.02.004]
　WANG Xue,NIE Heng-zhuo,BU Xiu-mei,et al.Research on the Construction of College Students' Physique Health Management Model[J].Medical Information,2019,32(24):11.[doi:10.3969/j.issn.1006-1959.2019.02.004]
[5]田维科,雷 蓉,李 芸,等.健康管理服务质量控制的现状与思考[J].医学信息,2019,32(08):39.[doi:10.3969/j.issn.1006-1959.2019.08.013]
　TIAN Wei-ke,LEI Rong,LIYun,et al.Status of Health Service Quality Control Management and Thinking[J].Medical Information,2019,32(24):39.[doi:10.3969/j.issn.1006-1959.2019.08.013]
[6]邹 涛.基于微信公众号的儿童健康管理平台的设计与应用[J].医学信息,2020,33(03):27.[doi:10.3969/j.issn.1006-1959.2020.03.008]
　ZOU Tao.Design and Application of Children’s Health Management Platform Based on Wechat Public Account[J].Medical Information,2020,33(24):27.[doi:10.3969/j.issn.1006-1959.2020.03.008]
[7]史文宗,刘瑞吉,杨 柳,等.医改新形势下病案的人文需求[J].医学信息,2020,33(05):19.[doi:10.3969/j.issn.1006-1959.2020.05.006]
　SHI Wen-zong,LIU Rui-ji,YANG Liu,et al.Humanistic Needs of Medical Record in the New Situation of Medical Reform[J].Medical Information,2020,33(24):19.[doi:10.3969/j.issn.1006-1959.2020.05.006]
[8]李其铿.基于电子健康档案汇聚平台的慢性病患、发病现状及经济负担研究[J].医学信息,2022,35(21):1.[doi:10.3969/j.issn.1006-1959.2022.21.001]
　LI Qi-keng.Study on Chronic Diseases, Morbidity and Economic Burden Based on Electronic Health Records Aggregation Platform[J].Medical Information,2022,35(24):1.[doi:10.3969/j.issn.1006-1959.2022.21.001]
[9]解红文,王正新,阮永兰,等.基于互联网技术的儿童健康管理区域智慧云平台的设计与应用[J].医学信息,2021,34(04):13.[doi:10.3969/j.issn.1006-1959.2021.04.004]
　XIE Hong-wen,WANG Zheng-xin,RUAN Yong-lan,et al.Design and Application of a Regional Smart Cloud Platform for Children’s Health Management Based on Internet Technology[J].Medical Information,2021,34(24):13.[doi:10.3969/j.issn.1006-1959.2021.04.004]
[10]徐月贞,王家威,樊琼玲,等.格林模式在新疆南山牧民高血压风险管理中的应用研究[J].医学信息,2022,35(23):55.[doi:10.3969/j.issn.1006-1959.2022.23.009]
　XU Yue-zhen,WANG Jia-wei,FAN Qiong-ling,et al.Application of the Precede-Proceed Model in Hypertension Risk Management of Pastoralists in Nanshan,Xinjiang[J].Medical Information,2022,35(24):55.[doi:10.3969/j.issn.1006-1959.2022.23.009]
[11]熊友生,郭雨禾,崔宝善.远程医疗健康物联网的研究应用[J].医学信息,2018,31(19):17.[doi:10.3969/j.issn.1006-1959.2018.19.006]
　XIONG You-sheng,GUO Yu-he,CUI Bao-shan.Research and Application of Telemedicine Health Internet of Things[J].Medical Information,2018,31(24):17.[doi:10.3969/j.issn.1006-1959.2018.19.006]

更新日期/Last Update: 1900-01-01