高血压病患者的心血管危险性分层与治疗研究  

A Research on Cardiovascular Risk Stratification and Treatment for Patients with Hypertension

作　　者：吴悠扬[1] 陈皓[1] 姜文兵[1] 张怀勤[2] 

机构地区：[1]温州医科大学温州第三临床学院心血管内科,温州325000 [2]温州医科大学附属第一医院心血管内科

出　　处：《数理医药学杂志》2015年第9期1268-1270,共3页Journal of Mathematical Medicine

摘　　要：目的：探讨分析对高血压病患者根据心血管危险性分层与针对性治疗的临床应用效果.方法：回顾性分析某院自2013年5月~2014年5月心血管内科门诊收治的高血压病患者164例,按完全随机的方法分为对照组和观察组,每组82例.对照组采取常规方法进行控制血压,观察组患者首先对病人进行心血管危险性进行分层,然后按照分层结果进行针对性治疗措施,所有患者均通过门诊随访或电话随访对病人的血压控制情况进行跟踪调查,观察两组患者治疗前后的血压控制情况和观察组患者在治疗前后危险性分层的患者比例.结果：经过3个月的治疗,两组患者的血压水平均有下降,与治疗前相比其差异有统计学意义（P 〈0.05）;与对照组相比,观察组患者的血压控制效果更加明显,经对比其差异有统计学意义（P 〈0.05）;观察组患者在治疗前后其心血管危险性进行分层中极高危和高危的例数明显减少,经对比其差异具有统计学意义（P 〈0.05）.结论：对于高血压病患者通过进行心血管危险性分层,然后采取针对性的治疗,其效果更加明显,对于降低患者的心血管事件具有明显的优势,值得在临床上推广.Objective:To explore and analyze the clinical effect of targeted treatment operated on patients with high blood pressure patients according to the clinical application of cardiovascular risk stratification. Methods:Make retrospective analysis on the data of 164 patients with hypertension received in OPD of vascu-locardiology department of some hospital during the period from May 2013 to May 2014 ,Randomly divide them into control group and observation group,82 cases for each group.Control group adopted conventional method to control the blood pressure,while in observation group ,firstly,cardiovascular risk stratification was made for patients ,and then targeted treatment was carried out in accordance with the results of stratifi-cation Follow-up surveys were paid to,through outpatient follow-up or telephone follow-up to follow up pa-tients'blood pressure control situation,observe the control of blood pressure of patients in both group before and after treatment and the proportion of patients belonging to each risk level in observation group before and after the treatment.Results:After 3 months of treatment,blood pressure of patients in both group with blood pressure declined ,the difference was statistically significant compared with that before treatment (P<0.05).Compared with control group,the control effect on blood pressure of patients in observation group was more obvious,by comparing,the difference was statistically significant (P< 0.05 ).In observation group ,to compare with that before treatment,the proportion of patients in extremely high risk and high risk declined after treatment according to cardiovascular risk stratification significantly,by comparing,the differ-encestatistically significant (P< 0.05).Conclusion:To carry out cardiovascular risk stratification for patients with hypertension and then take the corresponding treatment is more effective,it is significantly superior in respect to reducing cardiovascular events ,clinically,it is worth popularizing .

关 键 词：高血压病 心血管危险性分层 针对性治疗 临床效果 

分 类 号：R544.1[医药卫生—心血管疾病]