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目的:分析来源于包头一机医院社区就诊的3353例原发性高血压病人的患病因素以及干预后结果,探索高血压社区有效防治模式。方法:通过问卷调查建立高血压病人个人健康档案,采集了3353例在社区卫生服务站就诊的原发性高血压病人的相关信息输入微机系统管理,并进行非药物干预和个体化“NAH”小剂量阶梯式联合药物干预。结果:(1)年龄、高血压既往史、体重指数、用药对首诊收缩压有影响,而用药可降低首诊收缩压(P<0.05);(2)女性、年龄增高、有冠心病史、用药对首诊舒张压有降低作用,有高血压既往史、体重指数增加对首诊舒张压有增高作用(P<0.05);(3)应用“NAH”治疗方案可较好控制血压。结论:社区高血压病人通过规范管理,开展个体化防治,能有效提高对高血压病人的管理率、服药率和控制率,减少并发症的发生,对社区人群开展高血压防治有着重要的意义和广泛的应用价值。
OBJECTIVE: To analyze the prevalence of 3353 cases of essential hypertension patients from the first hospital of Baotou Hospital and the results after intervention, and explore the effective prevention and treatment of hypertension community. Methods: The questionnaire was used to establish the personal health records of patients with hypertension. 3353 patients with essential hypertension who were treated at community health service stations were enrolled in the system management of micro-computer system information, and non-drug interventions and individualized “NAH ”Small-dose stepwise combination drug intervention. Results: (1) The age, history of hypertension, body mass index and medication had an impact on the systolic blood pressure at the first visit, while medication decreased the first systolic blood pressure (P <0.05). (2) (P <0.05); (3) The application of “NAH” treatment can better control the blood pressure . Conclusion: Hypertensive patients in community through standardized management, individualized prevention and control can effectively improve the management of patients with hypertension, medication rates and control rates and reduce the incidence of complications, the prevention and treatment of community-based hypertension is of great significance and A wide range of application value.