北京市朝阳区两社区高血压患者规范管理效果评价  

Effectiveness of standardized management for hypertensive patients at two communities in Chaoyang district,Beijing

作　　者：张春[1,2] 韩晓燕[2] 崔树峰[2] 刘民[1] 

机构地区：[1]北京大学医学部公共卫生学院,100083 [2]北京市朝阳区疾病预防控制中心

出　　处：《首都公共卫生》2011年第6期254-257,共4页Capital Journal of Public Health

摘　　要：目的评价社区高血压患者实施规范管理的效果。方法选取北京市朝阳区八里庄和劲松2个社区中参加卫生部"慢性病社区综合干预项目"的950例高血压患者实施为期1年的规范管理,并进行效果评估。结果干预1年后,管理组与对照组相比,高血压的知晓率、治疗率和控制率均有显著提高(P<0.05),其中以<60岁人群最为明显。管理组的收缩压降低了(6.96±1.37)mmHg,差异具有统计学意义(P<0.05),降低幅度显著高于对照组(P<0.05)。管理组患者的危险因素包括高盐饮食、高油脂摄入和血脂异常均有显著下降,而对照组这3项指标则变化无统计学意义;管理组的超重肥胖率有降低,而对照组则增加,管理组的中心性肥胖率与一年前相比差异无统计学意义,而对照组的中心性肥胖率由54.1%增加到62.4%,差异具有统计学意义。结论在社区对高血压患者实施健康管理,能降低血压水平,提高高血压控制率,改善患者的行为危险因素,减少慢性病相关危险因素水平。Objective To evaluate effectiveness of standardized management for hypertensive patients at two communities in Chaoyang district,Beijing and explore a suitable model for community-based management for hypertension in urban areas.Methods In total,950 patients with hypertension who participated in the ＂Chronic Disease Community Intervention Project＂ sponsored by the Ministry of Health of China at Community Health-care Service Center of Balizhuang and Jingsong,Chaoyang district,Beijing were recruited into the study.One-year standardized management was implemented for them and its effectiveness was evaluated as compared to those with conventional management.Results One year after standardized management,awareness of hypertension knowledge,proportion of treatment and proportion of hypertension control in the patients were improved significantly（P0.05）,particularly in the patients aged less than 60 years,as compared to those with conventional management.Systolic blood pressure（SBP） in patients decreased by（6.96±1.37） mmHg after standardized management,significantly more than that in patients with conventional management（P0.05）.Proportion of patients with high-salt diet,high-fat diet and dyslipidemia significantly decreased（P0.05） after standardized management,as compared to those before it,but no significant difference was found in those in patients before and after conventional management.Meanwhile,Proportion of overweight and obesity decreased in patients after standardized management as compared to that before it but without statistical significance,which increased to 62.4 percent after one-year conventional management from 54.1 percent before it（P0.05）.Conclusion Community management for hypertensive patients can reduce their blood pressure effectively,improve control of hypertension and reduce risk behavioral factors for chronic diseases in urban areas of Chaoyang,Beijing.

关 键 词：高血压 规范管理 社区 

分 类 号：R544.1[医药卫生—心血管疾病]