我国高血压病社区管理现状.docVIP

我国高血压病社区管理现状[摘要] 高血压病是目前我国社区卫生服务重点管理的慢性疾病。社区管理被证明是有效控制高血压的最重要的途径。本文综述我国高血压病的流行状况、特点和危险因素，阐明高血压病社区管理的重要性与必要性；重点总结目前我国高血压病社区管理的主要方法。高血压病社区综合防治主要有三种管理模式，即协议管理、自我管理和家庭管理。高血压病的防治从现代预防医学的角度看就是三级预防，在社区管理中健康教育意义更突出。以社区全科医学团队合作开展的高血压规范化管理已显成效，是高血压社区管理的主要发展方向。本文也指出了我国高血压社区管理存在的问题与改进办法。 [关键词] 高血压病；社区管理；现状 [中图分类号] R544.1 [文献标识码] A [文章编号] 1673-7210（2012）07（c）-0013-03 Present situation of community-based hypertension management in our country LIU Jing (review) XIE Bo (checking) Department of General Medical, Yongchuan Hospital of Chongqing Medical University, Yongchuan 402160, China [Abstract] Hypertension is a common and frequently-occurring disease in our country and even in the world. It is a focus of the management of chronic diseases in China′s community health service station, and community-based management of hypertension has been proven to be the most important and effective way. This paper reviews the prevalence, characteristics and risk factors of the hypertension, points out the importance and necessity of community-based management of hypertension, and sums up main methods of the community-based management of hypertension in our country. In hypertension community comprehensive prevention and control, there are three management modes: contractual management, self-management and household management. From the point of view of modern preventive medicine, the prevention and control of hypertension is the three-grade prevention. In the community management of hypertension, health education has more significance than other methods. Standardized management of hypertension carried out by general medical team has already produced results and is the main direction of community management of hypertension. Also, this paper points out the problems existing in the community management of hypertension and puts forward its improvement measures. [Key words] Hypertension; Community-based management; Present situation 高血压病是最常见的慢性病，可导致脑血管、心脏和肾脏的病损，严重危害人类的健康，给家庭和社会带来巨大的经济负