广西南宁市高血压管理效果评价及城乡比较分析  

The evaluation of hypertension management effect and comparative analysis between urban and rural areas in nanning,guangxi

作　　者：周芳华[1] 周吉[1] 石健[1] 叶琳[1] 梁竹[1] 江珊[1] 梁宝送[1] 

机构地区：[1]南宁市疾病预防控制中心,广西530023

出　　处：《中国临床新医学》2013年第3期208-210,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西卫生厅科研课题(编号:Z2012643)

摘　　要：目的了解南宁市国家基本公共卫生服务项目高血压管理效果及城乡差别,探讨相应对策。方法采用单纯随机抽样的方法选取南宁市所辖青秀区(城市)、横县(农村)参加基本公共卫生服务慢性病管理满1年的高血压患者各400例和300例,比较城乡高血压患者的治疗率和控制率。结果高血压患者总治疗率为68.86%,城市患者治疗率(83.25%)明显高于农村患者(49.67%)(P<0.01)。高血压总控制率为56.29%,城市患者控制率(70.25%)明显高于农村患者(37.67%)(P<0.01)。结论国家基本公共卫生服务项目高血压规范管理能有效提高高血压治疗率和控制率,但农村地区效果较差,应采取有效措施提高农村高血压患者的治疗率和控制率。Objective To understand the hypertension management effect and the differences between city and rural areas under the national basic public health services,and probe into the related countermeasures.Methods Four hundred and 300 hypertensives respectively from Nanning qingxiu district（city group） and Hengxian（rural group） were chosen by simple random sampling,among those attending the basic public health services for at least 1 year.The differences treatment and control rate between city and rural were tested using χ2 tests.Results The total hypertension treatment rate was 68.86%,city patients’ treatment rate was 83.25%,much higher than 49.67% of rural patients（P＆lt;0.01）.High blood pressure control rate was 56.29%,city patients’ was 70.25%,much higher than 37.67% of rural patients（P＆lt;0.01）.Conclusion The state’s basic public health services hypertension management can improve hypertension treatment rate and control rate dramaticly,but the effect in rural areas was worse than in city.Corresponding effective measures should be taken to improve the hypertension treatment and control rate in rural areas.

关 键 词：高血压 治疗率 控制率 基本公共卫生服务 

分 类 号：R544.1[医药卫生—心血管疾病]