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目的通过对2005-2013年参与高血压社区规范化管理的高血压患者进行随访,了解患者血压控制及心脑血管病事件的发生状况,评价高血压规范化管理的远期效果。方法通过随访研究,对接受高血压规范化管理5年及以上1 156例管理组患者及958例非管理组患者进行分析,了解心脑血管病事件的发生及死亡情况。结果参加高血压规范化管理满5年及以上的管理组患者的收缩压平均值为(131.82±9.76)mm Hg,低于非管理组的(134.99±9.28)mm Hg,差异有统计学意义(t=-7.59,P<0.05)。管理组的舒张压均值为(81.78±7.30)mm Hg,非管理组为(82.35±6.39)mm Hg,差异无统计学意义(t=-1.89,P>0.05)。管理组血压控制率为89.62%,高于非管理组的61.38%,差异有统计学意义(=234.65,P<0.05),不同性别、年龄组管理组与非管理组患者血压达标率均有统计学差异(P<0.05)。管理组患者心脑血管事件发生率为4.93%,低于非管理组的7.41%,差异有统计学意义(=5.67,P<0.05),但是管理组与非管理组中心脑血管死亡率差异无统计学意义(=1.27,P>0.05)。结论高血压规范化管理可提高高血压患者的血压控制率,减少心脑血管事件的发生与死亡,提高患者的生命质量,有良好的高血压防治效果。
OBJECTIVE To evaluate the long-term effects of standardized management of hypertension through follow-up of hypertensive patients from 2005 to 2013 in standardized management of hypertensive community to understand the occurrence of patients’ blood pressure control and cardiovascular and cerebrovascular diseases. Methods According to the follow-up study, we analyzed 1 156 cases of management group and 958 cases of non-management group who had undergone standardized management of hypertension for more than five years to understand the occurrence and death of cardiovascular and cerebrovascular diseases. Results The average systolic blood pressure of the management group who participated in the standardized management of hypertension for 5 years and above was (131.82 ± 9.76) mm Hg, which was lower than that of the non-management group (134.99 ± 9.28 mm Hg), the difference was statistically significant (t = -7.59, P <0.05). The mean diastolic blood pressure was (81.78 ± 7.30) mm Hg in the management group and (82.35 ± 6.39) mm Hg in the non-management group, with no significant difference (t = -1.89, P> 0.05). The control rate of blood pressure in the management group was 89.62%, which was higher than that of the non-management group (61.38%), the difference was statistically significant (= 234.65, P <0.05). The blood pressure compliance rates in the management group and the non-management group were statistically Learning difference (P <0.05). The incidence of cardiovascular and cerebrovascular events in the management group was 4.93%, which was lower than 7.41% in the non-management group (= 5.67, P <0.05), but there was no difference in the central cardiovascular mortality between the management group and the non-management group Statistical significance (= 1.27, P> 0.05). Conclusion Standardized management of hypertension can improve the rate of blood pressure control in hypertensive patients, reduce the incidence and death of cardiovascular and cerebrovascular events, improve the quality of life of patients, and have a good effect of prevention and treatment of hypertension.