高血压患者社区干预对照研究  

A random control study of hypertension infervention

作　　者：王熙福[1] 王坚平[1] 欧阳荣超[1] 廖玉联[1] 吕仲群[1] 马红宝[1] 严励[1] 罗志萍[1] 

机构地区：[1]佛山市顺德区第一人民医院心内科,广东佛山528300

出　　处：《中国基层医药》2004年第10期1169-1170,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　探讨综合性干预措施对原发性高血压患者的影响。方法　将 117例 2级以上原发性高血压患者随机分为两组 ,对照组 (n =6 2 )仅接受药物治疗 ,实验组施加综合性干预措施 (n =5 5 ) ,除接受药物治疗外 ,还增加饮食干预、运动干预和行为干预 ,对两组人群进行随访观察 ,1年后进行干预效果评价。结果　实验组血压控制效果、不良行为转化率、部分合并症的发生情况无论与对照组相比还是组内干预前后自身对照 ,差异均有显著意义 (P <0 0 1) ,而对照组组内前后对照 ,仅定期血压监测行为的改变差异有显著意义 (P<0 0 1)。结论　以社区为基础对高血压患者采用综合性干预措施 ,效果是显著的 ,综合性干预措施不仅是有效的预防措施 ,也是强大的治疗因素。Objective To study the effectiveness of comprehensive intervention measures for patients with essential hypertension.Methods 117 patients with essential hypertension were randomly divided into 2 groups:experimental group(n=55),treated with antihypertensive drugs such as captopril and nifedipine and given health education including counseling,home visit,manual on prevention and control of hypertension,training of the skill to measure blood pressure,etc,and control group(n=62) treated by antihypertensive drugs only.Before and 1 year after the beginning of the experiment physical examination including measurement of blood pressure(BP) was made;and questionnair survey on hypertension related knowledge and relevant behaviors such as regular exercise,takin balanced diet,regular BP measurement,patient complicance,etc,was conducted.Results The correct answers about hypertension knowledge of the experimental group was significantly higher than that of the control group post experimentally(P<0.01),and was significantly higher than that of the same group before the experiment(P<0.01).The average BP was (160.04±9.13)/(107.41±10.91)mmHg in the experimental group and (159.37±9.20)/(108.38±11.38)mmHg in the control group(P>0.05) before the experiment;and was (131.54±14.21)/(76.94±18.24)mmHg in the experimental group and (149.62±20.13)/(97.83±21.43)mmHg in the control group(P<0.01).The changes in behaviors such as regular exercise,taking balanced diet,weight redution,and patient compliance were significantly different between the 2 groups after the experiment(all P<0.01),and were significantly different in the experimental group before and after the experiment too(all P<0.05 except for patient compliance).Significant difference in hypertension related risk factors such as oesity,lipidemia,renal dysfunction was found post experimentally between the two groups.Conclusion Community comprehensive intervention measures for patients with essential hypertension are effective to control and prevent hypertension.

关 键 词：综合性干预措施 对照组 原发性高血压患者 社区干预 健康教育 对照研究 治疗 结论 不良行为 意义 

分 类 号：R544.1[医药卫生—心血管疾病] R587.1[医药卫生—内科学]