社区综合康复治疗高血压效果观察.docVIP

精品论文 参考文献 社区综合康复治疗高血压效果观察 雷召军 　　乐山市犍为县学府社区卫生服务中心 614400 　　摘要：目的：观察社区综合康复治疗对高血压的控制情况。方法：回顾分析从2012年6月到2013年6月期间，某社区门诊综合治疗的高血压患者（n= 76）的临床资料。对患者进行分级干预，通过药物干预、饮食干预、运动干预和心理干预等综合治疗高血压，观察治疗前后患者血压的情况。结果：随访6个月，经过社区综合康复治疗后，76例高血压患者中治疗显效14例，有效53例，无效9例，治疗有效率为88.15%。治疗后的患者的24小时平均收缩压（24hSBP）、24 h舒张压（24hDBP）和24 h平均动脉压（24hMABP）均有显著性下降，治疗前后的24hSBP、24hDBP和24hMABP具有显著性差异（P lt; 0.05）。结论：社区综合康复治疗能有效降低高血压患者的血压水平，使患者戒掉不良的生活习惯，提高生活质量，值得推???应用。 　　关键词：社区；综合康复治疗；高血压；药物干预；分级干预 　　【 abstract 】 objective：to observe the community comprehensive rehabilitation treatment for high blood pressure control.Methods：retrospective analysis from June 2012 to June 2012，during a community outpatient treatment of patients with high blood pressure（n = 76）of clinical data.Classification of intervention on the patients，through the drug intervention，the diet intervention，sports intervention and psychological intervention such as comprehensive treatment of high blood pressure，blood pressure in patients with observed before and after treatment.Results：followed up for 6 months，after community comprehensive rehabilitation treatment，76 cases of hypertension patients in the treatment of 14 cases were markedly effective，effective 53 cases，9 no effect，the treatment effective rate was 88.15%.24 hours after treatment of the patients average systolic blood pressure（24 HSBP），diastolic pressure（24 HDBP）24 h and 24 h mean arterial pressure（24 hmabp）were significantly decreased，before and after treatment of 24 HSBP，24 HDBP and 24 hmabp with significant difference（P lt; 0.05）.Conclusion：comprehensive rehabilitation therapy can effectively reduce the high blood pressure patients in community level of blood pressure，make patient quit bad living habits，improve their quality of life，is worth popularization and application. 　　【 key words 】 the community；Comprehensive rehabilitation treatment；High blood pressure.Drug intervention；Classification of intervention 　　高血压是常见的心血管疾病，若不能及时有效控制高血压可引起严重的并发症，如冠心病、心力衰竭、脑出血和尿毒症等。目前我国单纯性高血压的发病率为6.0%