高血压社区控制技术对心脑血管急性事件的影响  

Effects of community hypertension control technology on the incidence of acute cardiovascular and cerebrovascular events

作　　者：高跃中 符雁翔 梅月芳 于琛[3] 徐小玲[4] 

机构地区：[1]嘉兴市秀洲区洪合镇卫生院,314023 [2]嘉兴市秀洲区王店镇卫生院 [3]嘉兴市中医医院 [4]浙江医院

出　　处：《中国心血管杂志》2015年第5期366-369,共4页Chinese Journal of Cardiovascular Medicine

基　　金：浙江省公益性技术应用研究计划项目(2011C23001)~~

摘　　要：目的探讨高血压社区控制技术对心脑血管急性事件发生的影响。方法 2010年12月至2013年12月,根据《高血压社区控制技术对心血管病社区人群防治基地建设的影响研究》实施方案选择浙江省嘉兴市秀洲区洪合镇为干预组、王店镇为对照组,对干预组3 260例高血压患者进行分级管理,对照组5 685例高血压患者进行常规管理。比较二组高血压控制率及心脑血管病急性事件的发生率。结果干预组和对照组高血压控制率分别为80.37%和59.85%,干预组显著高于对照组(P<0.01);2011—2013年十预组心脑血管急性事件205例(721/10万),心脑血管事件死亡50例(176/10万),对照组心脑血管急性事件607例(1 282/10万),心脑血管事件死亡139例(293/10万),两组比较差异有统计学意义(均为P<0.01)。结论高血压社区控制技术能有效提高高血压控制率,减少心脑血管急性事件的发生,其成效是非常显著的。Objective To explore the effects of hypertension community control techniques on the incidence of acute cardiovascular and cerebrovascular events. Methods 3 260 hypertension patients from Honghe Town, Xiuzhou District of Zhejiang Province as intervention group, and 5 686 from adjacent Wangdian Town as control group were recruited in a period from December 2010 to December 2013. The hierarchical management techniques were applied in the intervention group （Honghe） while those in the control （Wangdian） were managed routinely. The proportions of controlled hypertension, occurrence of acute cardiovascular and cerebrovascular events were compared between the two groups. Results The proportion of controlled hypertension in intervention group are 80. 37% which was significantly higher than that in control group 59.85% （ P 〈 0.01 ）. From 2011 to 2013, the occurrence of acute cardiovascular and cerebrovascular events were 205 （ 721/100 000） in intervention group vs. 607 （ 1 282/100 000 ） in control group （ P 〈 0. 01 ）, and deaths were 50 （ 176/100 000 ） in intervention group vs. 139 （ 293/100 000 ） in control group （P 〈 0.01 ） respectively. There was significant difference between the two groups. Conclusions Hypertension community control techniques could effectively increase the proportion of controlled hypertension cases, therefore result in the reduction of incidence of acute cardiovascular and cerebrovascular events. Its effect is very significant.

关 键 词：高血压 控制 社区卫生服务 心脑血管急性事件 

分 类 号：R544.1[医药卫生—心血管疾病]