标题：“互联网+”健康管理干预模式对合并缺氧事件的脑卒中患者高危因素的影响

      作者：罗婧 1，孔玉娟 2    1.山西医科大学汾阳学院，山西 汾阳 032200；2.山西省汾阳医院神经内科，山西 汾阳 032200

      卷次： 2024年35卷14期

      【摘要】 目的 分析“互联网+”健康管理干预模式对合并缺氧事件脑卒中患者血压、血糖、血脂、同型半胱氨酸的影响。方法 选取2021年10月至2023年1月于山西省汾阳医院就诊的80例合并有阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的腔隙性脑梗死患者作为研究对象，按简单随机分组法分为对照组和观察组各40例，观察组患者采用“互联网+”健康管理模式干预其生活方式，对照组患者采用常规方式干预其生活方式，每6个月观察血压及生化指标，观察期为1年。比较两组患者干预前后生活方式的改变及血压、血糖、血脂、同型半胱氨酸的差异。结果 观察组患者干预前的口味偏咸37.5%、口味偏油20.0%、蔬菜75.0%、水果77.5%、喝奶57.5%，干预1年后，口味偏咸5.0%，口味偏油2.5%，蔬菜97.5%，水果97.5%、喝奶92.5%，差异均有统计学意义(P<0.05)；观察组患者干预前的每周运动时间≥4 h者占比为35.0%，干预1年后，运动规律率上升为57.5%；干预前吸烟率为65.0%，干预1年后吸烟率下降为17.5%；干预前饮酒率为 70.0%，干预 1年后饮酒率下降为 25.0%，差异有统计学意义(P<0.05)；观察组患者收缩压(SBP)、舒张压(DBP)、空腹血糖(FBG)、总胆固醇(TC)、甘油三酯(TG)、同型半胱氨酸(HCY)从干预前的(149.90±5.57) mmHg、(99.08±6.01) mmHg、(6.34±0.86) mmol/L、(5.55±0.57) mmol/L、(2.07±0.14) mmol/L、(20.49±3.19) μmol/L下降至干预后的(131.5±6.21) mmHg、(85.25±5.87) mmHg、(4.94±0.47) mmol/L、(3.54±0.59) mmol/L、(1.16±0.10) mmol/L、(15.58±3.5) μmol/L，差异均有统计学意义(P<0.05)，而对照组患者的生活方式与检查指标干预前后比较差异均无统计学意义(P>0.05)。结论 “互联网+”健康管理干预模式可以有效改善合并缺氧事件的脑卒中人群的生活方式，有效降低血压、血糖、血脂、同型半胱氨酸，有利于疾病转归和预后。
      【关键词】 脑卒中；高危因素；互联网+；健康管理
      【中图分类号】 R743.3 【文献标识码】 A 【文章编号】 1003—6350（2024）14—2026—05

Effect of "Internet plus" health management intervention model on high-risk factors of stroke patients withhypoxia events.
LUO Jing 1, KONG Yu-juan 2. 1. Fenyang College of Shanxi Medical University, Fenyang 032200, Shanxi,CHINA; 2. Department of Neurology, Fenyang Hospital of Shanxi Province, Fenyang 032200, Shanxi, CHINA
【Abstract】 Objective To analyze the effect of "Internet plus" health management intervention mode on bloodpressure, blood sugar, blood lipid, and homocysteine in stroke patients with hypoxia events. Methods Eighty patientswith lacunar cerebral infarction complicated with obstructive sleep apnea hypopnea syndrome (OSAHS) who were treatedin Fenyang Hospital of Shanxi Province from October 2021 to January 2023 were selected. They were divided into a con-trol group and an observation group according to the simple random grouping method, with 40 patients in each group. Thepatients in the observation group used the "Internet plus”health management model to intervene their lifestyle, and the pa-tients in the control group used the conventional way to intervene their lifestyle. Blood pressure and biochemical indicatorswere observed every six months, and the observation period was one year. The changes in lifestyle and differences in bloodpressure, blood glucose, blood lipids, and homocysteine were compared between the two groups of patients before and af-ter intervention. Results Before intervention, 37.5% of the patients in the observation group had a salty taste, 20.0% hadan oily taste, 75.0% had vegetables, 77.5% had fruits, and 57.5% drank milk, which were significantly different from 5.0%,2.5%, 97.5%, 97.5%, and 92.5% after one year of intervention, respectively (P<0.05). The proportion of patients having aweekly exercise time of ≥4 hours in the observation group increased from 35.0% before intervention to 57.5% after oneyear of intervention, the smoking rate decreased from 65.0% to 17.5%, and the alcohol consumption rate decreased from70.0% to 25.0%, with statistically significant differences (P<0.05). The systolic blood pressure (SBP), diastolic blood pres-sure (DBP), fasting blood glucose (FBG), total cholesterol (TC), triglycerides (TG), and homocysteine (HCY) of the obser-vation group decreased from (149.90±5.57) mmHg, (99.08±6.01) mmHg, (6.34±0.86) mmol/L, (5.55±0.57) mmol/L, (2.07±0.14) mmol/L, (20.49±3.19) μmol/L before intervention to (131.5±6.21) mmHg, (85.25±5.87) mmHg, (4.94±0.47) mmol/L,(3.54±0.59) mmol/L, (1.16±0.10) mmol/L, and (15.58±3.5) μmol/L after intervention, and the differences were statisticallysignificant (P<0.05). There was no statistically significant difference in the lifestyle and examination indicators of the con-trol group before and after intervention (P>0.05). Conclusion The "Internet plus" health management intervention modelcan effectively improve the lifestyle of stroke patients with hypoxia events, effectively reduce blood pressure, blood sugar,blood lipids, and homocysteine, and is conducive to disease outcomes and prognosis.
      【Key words】 Stroke; High-risk factors; Internet plus; Health management