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目的探讨社区高血压细节管理对高血压患者并发脑中风的影响。方法选取2012年1月至2016年11月东莞市石碣镇石碣社区卫生服务中心收治的644例高血压患者作为研究对象,随机将其分为对照组与试验组,各322例。对照组患者接受常规管理,试验组患者在对照组常规管理基础上接受社区高血压细节管理,比较两组患者管理实施前后血压水平、血脂水平、血糖水平及脑中风发生情况。结果实施管理后,试验组患者的舒张压、收缩压、脉压均明显低于对照组,差异均有统计学意义(均P<0.05);实施管理后,试验组患者低密度脂蛋白胆固醇、总胆固醇及空腹血糖水平均明显低于对照组,高密度脂蛋白胆固醇水平明显高于对照组,差异均有统计学意义(均P<0.05);试验组患者并发脑中风的发生率明显低于对照组,差异有统计学意义(P<0.05)。结论社区高血压患者接受细节管理,可以有效将其血压水平降低,同时可以降低患者血脂、血糖水平,从而减少脑中风等并发症的发生率。
Objective To investigate the effect of community hypertension management on stroke in hypertensive patients. Methods 644 hypertensive patients admitted from Shijie Community Health Service Center, Shijie Town, Dongguan City from January 2012 to November 2016 were randomly divided into control group and trial group, with 322 cases in each group. Patients in the control group underwent routine management. Patients in the test group received detailed management of community hypertension based on routine management of the control group. Blood pressure, blood lipid levels, blood glucose levels and stroke were compared between the two groups before and after management. Results After management, the diastolic blood pressure, systolic blood pressure and pulse pressure in the test group were significantly lower than those in the control group (all P <0.05). After management, the LDL cholesterol, Total cholesterol and fasting blood glucose levels were significantly lower than the control group, high-density lipoprotein cholesterol levels were significantly higher than the control group, the difference was statistically significant (P <0.05); the incidence of stroke in patients with experimental group was significantly lower than Control group, the difference was statistically significant (P <0.05). Conclusion Community-based hypertensive patients receive detailed management, which can effectively reduce their blood pressure levels, while reducing blood lipids and blood glucose levels, thereby reducing the incidence of stroke and other complications.