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目的调查社区内高血压病分组管理状况,为社区预防控制高血压病提供依据。方法2007年7-9月对徐汇区斜土街道社区≥35岁常住居民进行高血压患病的性别、年龄构成及分组管理的情况进行分析。结果本社区现有高血压管理对象共2052名,其中高血压重点管理对象1917人,男女之比为1∶1.22,男性患者中65岁以上者占72.19%,女性患者中65岁以上者占70.77%。其中很多高血压患者伴发有糖尿病、冠心病、脑中风、血脂紊乱等其他慢性疾病。结论高血压病管理是社区卫生服务的重要内容,开展健康教育和健康促进是目前管理和控制高血压的有效方法,管理时应根据患者的不同特点如不同伴随疾病,制定不同的方法和目标,并针对薄弱环节加以改进。
Objective To investigate the group management of hypertension in the community and provide basis for community prevention and control of hypertension. Methods From July to September in 2007, the gender, age constitution and group management of hypertension prevalence in community of ≥35 in Xietu neighborhood community in Xuhui district were analyzed. Results A total of 2052 hypertensive management subjects were included in this community, among which 1917 were hypertensive subjects with a ratio of male to female of 1: 1.22, 72.19% of male patients over 65 years of age and 70.77 of female patients over 65 years of age %. Many of these hypertensive patients are associated with other chronic diseases such as diabetes, coronary heart disease, stroke, and dyslipidemia. Conclusion Hypertension management is an important part of community health services. To carry out health education and health promotion is an effective way to manage and control hypertension. Different methods and targets should be formulated according to patients’ different characteristics such as different accompanying diseases. And for the weak links to be improved.