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目的:评价高血压患者中展开社区高血压细节管理方案的价值。方法:采取随机法选择该社区医院2013年11月至2015年11月接收的高血压患者共100例,作治疗组,本组入选患者选择社区高血压细节管理方案;同期选择高血压患者100例,作对照组,本组入选患者选择常规管理方案,对2组入选患者血压值、脑卒中症状发生几率等指标进行客观评定。结果:所有入选患者都已经完成救护工作,治疗组入选患者收缩压值(119.65±8.77)mm Hg,舒张压值(79.88±4.66)mm Hg,对照组分别是(137.23±10.97)mm Hg和(94.11±6.56)mm Hg。且治疗组中有4例患者并发脑卒中,对照组中有38例,有统计学意义(P<0.05)。结论:在高血压患者中推行社区高血压细节管理方案效果突出,除了可以改善患者临床指征以外,还能够避免脑卒中症状的发生,建议推广。
Objectives: To evaluate the value of community hypertensive management programs in hypertensive patients. Methods: A total of 100 cases of hypertensive patients were selected from the community hospital from November 2013 to November 2015 as the treatment group. The selected patients in this group were selected to manage the details of hypertension management in the community. In the same period, 100 cases of hypertensive patients , For the control group, the group selected patients to choose the routine management program, the selected two groups of patients with blood pressure, stroke symptoms and other indicators of objective assessment. Results: All selected patients had completed the rescue work. Patients in the treatment group had systolic blood pressure (119.65 ± 8.77) mm Hg and diastolic blood pressure (79.88 ± 4.66) mm Hg, while those in the control group were (137.23 ± 10.97) mm Hg and 94.11 ± 6.56) mm Hg. There were 4 patients in the treatment group with stroke, compared with 38 in the control group (P <0.05). CONCLUSIONS: The implementation of community-based hypertensive management program in hypertensive patients has achieved remarkable results. In addition to improving the clinical indications of patients, it is also possible to avoid the occurrence of stroke symptoms and to recommend its promotion.