社区高血压患者管理探索- Exploration-of- Management-for-the-课件.pptVIP

。。 * 。。 * 。。 * 。。 * 。。 * 。。 * 。。 * 。。 * 。。 * 。。 * 。。 * 。。 * 社区高血压患者管理探索 Exploration of Management for the Hypertension Patients in Community  四川省攀枝花市东区紫荆山社区卫生服务中心 Community Health Service Center of Zi Jing Shan In Pan Zhi Hua,Sichuan 杨荣 Yangrong 我国2004年全国营养与健康综合调查表明高血压控制率仅为6.1%。为了探索一条适合本社区高血压管理的路子，我们就2004—2005年高血压人群纳入了520例进行统一规范管理，对其管理效果进行评价。 The investigation to nutrition and health in China in 2004 showed the control rate of hypertension is only 6.1%. We manage 520 hypertension patients from 2004 to 2005 standard for investigating effective method of management of hypertension in our community ,We have evaluated the effect of management. 对象与方法 Objects and Methods 1.1 对象 紫荆山社区居民高血压患者并自愿参加管理的520人，其中男性327人，女性193人，年龄26至86岁，平均年龄58.5岁，平均高血压病史12年，管理病例均经过常规化验、血电解质、心电图、胸透、眼底检查等，除外继发性高血压。其中一级管理227人，二级管理198人，三级管理95人。 1.1 Objects: 520 patients with hypertension in our community took part in the management voluntarily .male 327,femal 193 , age from 26 to 85, mean age 58.5 years old， mean history of hypertension 12 years. Secondary hypertension was excluded by laboratory examination such as x-ray, ECG. The first class management group 227 patients, the second class management group 198 patients , the third class management group 95 patients. 1．2 方法 按照《全国慢性病社区综合防治示范点高血压防治方案》要求进行管理。一级管理：男性年龄小于55岁，女性年龄小于65岁，高血压1级，无其他心血管危险因素，按照危险分层属于低危的患者；二级管理：高血压2级或1-2级同时有1-2个其它心血管疾病危险因素，按照危险分层属于中危的患者；三级管理：高血压3级或合并3个以上其它心血管疾病危险因素或合并靶器官损害或糖尿病或并存临床情况者，按照危险分层属于高危和很高危的患者。 1.2 Methods: according to the《 The program of prevention and cure of hypertension of demonstration site of nationwide general prevention and cure of chronic diseases 》. The first class management : the age of male patients 55, the age of female patients 65, the first class hypertension, no other cardiovascular risk factors, the patients are low-risk according to risk stratification. the second class management: the second hypertension or the first-second hypertension associated with other 1-2