社区开展高血压分级管理模式与干预效果分析  

Discussion on graded management of hypertension in community and analysis of intervention effect

作　　者：任雪雷[1] 刘德安[1] 徐东红[1] 孙保和[1] 周晓林[1] REN Xuelei, LUI Dean, XU Donghong et al. Xietu Community Health Service Centre, Xuhui District, Shanghai, 200032

机构地区：[1]上海市徐汇区斜土街道社区卫生服务中心,200032

出　　处：《社区卫生保健》2007年第4期238-239,242,共3页Journal of Community Healthcare

摘　　要：目的探讨社区开展高血压分级管理，社区干预措施对脑血管病预防效果。方法2002年至2006年，在上海斜土社区随机抽取部分居委为干预组，对社区高血压病患者进行分级管理。另随机抽取部分居委为对照组，比较两组脑卒中发病率、死亡率。结果干预终点，干预组的高血压管理率达89．2％，控制率达91．4％；脑卒中发病率105．7／10万，死亡率26．4/10万。对照组脑卒中发病率为462．5/10万，死亡率72．5/10万。两组标化后脑卒中发病率、死亡率间差异均有统计学意义（P〈0．01）。结论在社区实施高血压分级管理的干预模式，对脑血管病的预防控制有实际意义。Objective To carry out graded management of hypertension in community and to explore the influence of intervention measures to prevent and control cerehrovascular disease. Method From years of 2002 to 2006, by random sampling, partial residents of one community were extracted as interferential group, divided-lever management was applied for hypertensive patients, meanwhile, other partial residents were extracted as control group to compare the standard disease and death percentage of stroke of the two groups. Results The managing percentage of HBP was 89.2%, the controlling percentage 91.4% ; in interferential group, the percentage of stroke patients was 105.7/100,000, mortality rate was 26.4/100 000; in control group, the percentage of stroke patients was 462.5/100,000, mortality rate was 72.5/100,000, the standardized incidence and mortality of stroke in interfering group was lower than those in control group. Conclusion It is to say that the interfering measurement to graded management of hypertension in community is effective to prevent from and control cerebrovascular disease.

关 键 词：高血压 分级管理 效果分析 

分 类 号：R544.1[医药卫生—心血管疾病;医药卫生—临床医学;医药卫生—内科学]