| ObjectiveAnalyze the characteristics of cardiovascular diseases,discuss the key elements of cardiovascular diseases diagnosis and treatment,study the whole process of the first aid treatment,high risk factors intervention and health management of cardiovascular diseases.From the perspective of first aid treatment and high risk factors intervention,study on the "green channel" integrated treatment model of chest pain center in a three first class hospital in Tianjin,based on one of the high risk factors for cardiovascular diseases-hyperlipidemia,investigate the movement cognition and exercise habit of them by site investigation and randomized controlled trial.On the basis of our national conditions,put forward scientific and feasible health management strategies and recommendations.Methods(1)Literature research method:take cardiovascular diseases as a keyword for literature search,sort out the characteristics,status,and the key elements of cardiovascular diseases treatment,and analyze them.(2)Data analysis method:collect a total number of 5380 patients who were treated in the chest pain center relying on a grade-A tertiary hospital in Tianjin and compare the diagnosis and treatment data of 2015 and 2016,analyze the efficiency changes of the first aid and treatment since the "green channel" treatment model unfold.(3)Site investigation method:field interviews and questionnaires were conducted in 120 patients with hyperlipidemia from august 2015 to august 2016 in a district of Tianjin,investigate the movement cognition and exercise habit of them.(4)Randomized controlled trial:the randomized controlled trial was performed on the selected hyperlipidemia patients by means of the information cloud platform,explore the effect of exercise therapy on the intervention the risk factors of cardiovascular diseases;all the study data were entered by EpiData3.0,use SPSS20.0 statistical software for carrying out statistical analysis.Results(1)The chest pain center we studied is at the beginning stage in 2015,while the diagnosis and treatment system is relatively mature and the process is more standardized in 2016.The number of the segment elevation myocardial infarction patients is the largest among the admissions in 2016,accounting for 50.41% of the total number of admissions.Comparing the relevant data of chest pain center for 2015 and 2016,there was no statistically significant difference between segment elevation myocardial infarction and non-segment elevation myocardial infarction patients in cardiology(P>0.05).Compared to 2015,the segment elevation myocardial infarction patients of coronary heart disease care unit was significant higher than that of non-segment elevation myocardial infarction patients(P<0.05),there was no statistically significant difference in the number of critically patients in coronary heart disease care unit,so did the number of deaths and the causes of death with coronary heart disease care unit(P>0.05),the acute myocardial infarction patients who were sent to the chest pain center by 120 emergency centers increased significantly in 2016(P<0.05),the total amount of percutaneous coronary intervention in emergency department increased significantly,meanwhile,the number of patients who underwent percutaneous coronary intervention in emergency department was also increased significantly(P<0.05).The door to balloon time of the emergency percutaneous coronary intervention surgery is lower than the international standard in 2016;the number of patients in coronary heart disease care unit had seasonal changes;coronary heart disease care unit began to use cardiovascular diseases health management application in 2016,included acute myocardial infarction patients accounted for 80.97% of the total number of patients included,acute myocardial infarction patients under the age of 50 accounted for 55.59% of the total number of acute myocardial infarction patients.(2)The study of exercise cognition and habits in patients with hyperlipidemia shows the differences in exercise habits among patients of different ages,works,cultural levels and income levels were statistically significant(P<0.05),most respondents believe that exercise has a positive effect on reducing body mass index;most subjects have the habit of aerobic exercise;according to the patients’ body mass index value changes,we can see that the longer the movement time,the lower the body mass index value of patients,anaerobic exercise resulted in a higher percentage of net increase in heart rate than aerobic exercise,severe athletes have a higher percentage of net increase in heart rate than lightly exercising athletes,people who exercise for a long time have a higher percentage of net increase in heart rate than those who exercise for a short time,at the same time,low frequency of exercise have a higher percentage of net increase in heart rate than those who exercise frequency(P<0.05).The levels of body mass index,triglyceride,total cholesterol,lowdensity lipoprotein,mean arterial pressure and postprandial 2h blood glucose in the intervention group were significantly lower than those in the control group(P<0.05).Conclusion(1)Since the implementation of the "green channel" integrated diagnosis and treatment model,the efficiency of first aid treatment is significantly improved,cardiovascular diseases disease information health management platform is at the initial trial stage,the effect and function is pending to be further observed and improved.(2)Patients with hyperlipidemia who were investigated had higher awareness of exercise,most subjects have the habit of aerobic exercise,scientific exercise therapy can intervene the key biochemical indicators of patients with hyperlipidemia effectively,exercise has a positive effect on cardiovascular diseases prevention and treatment,ease the body’s energy imbalance.(3)We must improve the efficiency of first aid and treatment,pay attention to the intervention of high risk factors,conduct disease screening and health education and start from all aspects,strengthen multi-sectoral cooperation,build information platform,establish the risk assessment mechanism of cardiovascular diseases,advocate healthy ways of exercising,strengthen disease screening and health education,attach importance to the whole process and the elements of cardiovascular diseases development,explore the integration of cardiovascular diseases in line with national conditions,and achieve the goal of having a scientific and full-coveraged health management of cardiovascular diseases. |
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