荔城社区高血压危险分层及综合防治策略研究.docVIP

荔城社区高血压危险分层及综合防治策略研究 　　[摘要] 目的 对荔城社区高血压患者进行综合防治干预，对综合防御措施的效果进行探讨。 方法 收集荔城社区364例高血压患者，结合血压水平对患者进行危险分层，临床采用综合防治策略进行干预，包括健康教育、行为干预、定期随访等。对干预前后患者血压、胆固醇指标、高血压知识水平和行为改变，以及危险分层人数的变化进行对比。 结果 经18个月干预，患者血压水平显著性降低，收缩压和舒张压分别为（127.93±13.76）、（70.24±9.67）mm Hg，显著低于干预前的（157.54±18.34）、（85.54±12.05）mm Hg，差异有统计学意义（P 0.05）；干预后三酰甘油、总胆固醇水平分别为（1.49±0.29）、（4.83±0.69）mmol/L，显著低于干预前的（2.43±0.29）、（6.33±0.67）mmol/L，差异有统计学意义（P 0.05）。干预后患者高血压知识水平、相关行为改变都明显好于干预前，差异有统计学意义（P 0.05）；干预后极高危险层和高危险层患者比例显著降低，低危险层和中危险层患者比例显著增大，差异有统计学意义（P 0.05）。 结论 以社区综合防治对社区高血压患者进行干预能有效地降低患者血压、胆固醇水平以及提升患者高血压知识和改善患者行为，是一种切实可行的综合防治措施。 　　[关键词] 高血压；危险分层；社区综合防治；疗效 　　[中图分类号] R544.1[文献标识码] B[文章编号] 1673-7210（2014）06（b）-0128-04 　　 　　Study on the hypertension risk stratification and comprehensive prevention strategy on hypertension patients in Licheng community 　　LIN Ximing1 ZOU Rong2 　　1.Prerention and Control Department for Chronic Non-infectious Disease, Licheng Street Community Health Service Center of Zengcheng City, Guangdong Province, Zengcheng 511300, China; 2.Department of Cardiovascular Medicine, Zengcheng People′s Hospital, Guangdong Province, Zengcheng 511300, China 　　[Abstract] Objective To use comprehensive prevention methods to intervene the hypertension patients in Licheng community and investigate the efficacy of the prevention methods. Methods 364 cases hypertension patients in Licheng community were selected. Risk stratification of patients were divided, based on blood pressure. Hypertension patients were intervened with comprehensive prevention methods, including health education, behavioral interventions, and regular follow-up. After treatment, blood pressure, cholesterol levels, hypertension knowledge, behavior change and changes of each risk stratification people were selected and compared. Results After 18 months intervention, blood pressures of patients decreased markedly, the systolic blood pressures and diastolic blood pressures were (127.93±13.76), (70.24±9.67) mm Hg, which were significan