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目的对社区高血压患者风险因素评估并分析风险因素干预效果。方法从金华市9个社区50~70周岁人群中筛选出原发性高血压患者2 860例,随机分为干预组与对照组各1 430例,两组均给予降压药物治疗,干预组同时进行风险评估,并依评估结果作病情监测和生活方式干预指导,1年后比较两组干预效果。结果干预组与对照组人群基线调查血压等基本条件相似(P>0.05)。通过实施1年风险评估和连续性干预措施后,干预组与对照组患者血压控制率分别为83.07%和67.18%,危险因素聚集率分别为78.15%和71.06%,靶器官早期受损率分别为15.23%和19.77%;干预1年后,血压控制率与危险因素聚集率在干预组与对照组间比较,差异均有统计学意义(P<0.05)。结论社区高血压患者及早实施风险管理与干预措施,是控制高血压发病和并发症发生的有效措施。
Objective To evaluate the risk factors of community hypertension and analyze the intervention effect of risk factors. Methods A total of 2 860 patients with essential hypertension were screened from 50 to 70-year-old population in 9 communities in Jinhua City. They were randomly divided into intervention group and control group (1 430 in each), both of which were treated with antihypertensive drugs. At the same time, Conduct risk assessment, and according to the assessment results for disease monitoring and lifestyle intervention guidance, one year after the comparison of the two groups intervention effect. Results The basic conditions such as blood pressure were similar in intervention group and control group (P> 0.05). After one-year risk assessment and continuous intervention, the control rates of blood pressure in intervention group and control group were 83.07% and 67.18%, and the risk factors were 78.15% and 71.06% respectively. The early target organ damage rates were 15.23% and 19.77%, respectively. After 1 year of intervention, the rate of blood pressure control and the rate of aggregation of risk factors were significantly different between the intervention group and the control group (P <0.05). Conclusion Early implementation of risk management and intervention in community-based hypertensive patients is an effective measure to control the incidence and complications of hypertension.