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目的:加强对高血压病人的管理,控制高血压的危害。方法:对农村社区的高血压患者进行综合干预,对干预效果进行评估。结果:干预后高血压患者中,可控危险因素得到控制;高血压患者危险度分层以中危为主,占57.5%;干预前后平均血压下降明显(P<0.01);高血压患者血压控制率提升到44.7%(P<0.01);规律服药率由干预前的63.7%提高到干预后的83.7%(P<0.01);干预前、后干预村与全镇的心脑血管病死亡率增幅分别为7.40%和9.09%。结论:以社区为基础的高血压综合管理成效显著。
Objective: To strengthen the management of hypertensive patients and control the harm of hypertension. Methods: A comprehensive intervention was conducted on hypertensive patients in rural communities to evaluate the intervention effect. Results: Controlled risk factors were controlled in hypertensive patients after intervention. Risk stratification was 57.5% in hypertensive patients, mean blood pressure decreased significantly before and after intervention (P <0.01), blood pressure control The rate of regular medication increased from 63.7% before intervention to 83.7% after intervention (P <0.01). The increase rate of cardiovascular and cerebrovascular diseases in intervention village and whole town before and after intervention Respectively 7.40% and 9.09%. Conclusion: Community-based Hypertension Management has achieved remarkable results.