中医体质辨识和中医健康管理联合“三位一体”高血压社区防治管理多中心平行对照研究  

The Constitution of Traditional Chinese Medicine Identification and Traditional Chinese Medicine Health Management Combined with "three-in-one" Hypertension Community Prevention and Control of Hypertension Community Management of Multi Center Parallel Grou

作　　者：潘虎荣 孙全英[2] 吕洋[3] 王斌[4] 董成伟[5] 戚江平[6] 张琪[7] 季海刚[7] 

机构地区：[1]江苏省常州市中医医院钟楼院区内科,江苏常州213003 [2]江苏省常州市中医医院马公桥社区卫生服务中心全科,江苏常州213003 [3]江苏省常州市中医医院西仓社区卫生服务站全科,江苏常州213003 [4]江苏省常州市中医医院西新桥三村社区卫生服务站全科,江苏常州213003 [5]江苏省常州市中医医院白云新村社区卫生服务站全科,江苏常州213003 [6]江苏省常州市中医医院西新桥二村社区卫生服务站全科,江苏常州213003 [7]江苏省常州市中医医院心血管科,江苏常州213003

出　　处：《实用中医内科杂志》2015年第2期1-4,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：常州市科技支撑计划(社会发展)(CE20115022)

摘　　要：[目的]观察中医体质辨识和中医健康管理联合"三位一体"高血压社区防治管理效果。[方法]使用多中心平行对照方法,将213例门诊患者按干预方法分为两组,"三位一体"高血压社区防治管理模式:以社区医院为基地,专业防治机构为指导、三级医院为后盾,专家、社区责任医生、公卫人员及患者共同参与的疾病管理团队,筛查发现社区高血压患者,建立健康档案,根据血压、危险因素、靶器官损害及并存相关疾病等因素评估,划分为低危、中危、高危和很高危,分别采取一级、二级、三级管理。对照组104例指导调整降压药物和开展普通健康宣教。干预组109例中医体质辨识和中医健康管理,包括心理调摄、饮食调养、起居调摄、运动保健。连续干预52周为1疗程。观测临床症状、治疗率、控制率、BMI指数、中医体质、不良反应。干预1个疗程,判定疗效。[结果]体质变化两组未有明显改善(P>0.05)。治疗率和控制率两组均有改善(P<0.05),干预组改善优于对照组(P<0.05)。BMI指数变化两组均有改善(P<0.05),两组间无明显差异(P>0.05)。[结论]中医体质辨识和中医健康管理联合"三位一体"高血压社区防治管理,效果满意,无严重不良反应,值得推广。[Objective]To observe the constitution of traditional Chinese medicine identification and traditional Chinese medicine health management ＂three-in-one combination＂ community prevention and control of hypertension management in community hypertensive effect.[Method]The use of multi center parallel control method, 213 outpatients were divided into two groups according to the method of intervention, ＂Trinity＂ management mode of prevention and cure of hypertension in community： community hospital as the base, professional control agency as a guide, three level hospital as the backing, experts and community responsibility of doctors and public health workers and patients to participate in the disease management team, screening of hypertensive patients in a community, to establish health files, evaluated according to the factors of blood pressure, risk factor, target organ damage and the coexistence of related diseases, divided into low risk, medium risk and high risk and very high risk, respectively adopt a grade, two grade, three grade management. The control group of 104 cases of guiding the adjustment of antihypertensive drugs and the development of general health education. The intervention group 109 cases of TCM Constitution identification and Chinese medicine health management, including psychological adjustment, diet nursed back to health, living recuperating, sports health care. Continuous intervention for 52 weeks for 1 courses. Observation of clinical symptoms, treatment rate, control rate, BMI index, the constitution of traditional Chinese medicine, adverse reaction. [Results]Physical change in the two groups have improved significantly（P〉0.05）. Treatment rate and control rate of two groups were improved（P〈0.05）, the Intervention group is better than control group（P〈0.05）. BMI index in two groups were improved（P〈0.05）, no significant difference between two groups（P〉0.05）.Intervention of 1 period of treatment, curative effect.[Conclusion]The constitution of traditional

关 键 词：BMI指数 社区高血压 中医体质健康管理 三位一体 治疗率 控制率 体质变化 多中心平行对照研究 

分 类 号：R19[医药卫生—卫生事业管理]