随访干预对高血压患者降压疗效的影响  

Clinical effects on patients with hypertension under follow-up intervention

作　　者：钟勇[1] 彭永平[2] 游云鹏[1] 王俊[2] 王颖[1] 郑大东[1] 潘士勇[1] 

机构地区：[1]南京军区南京总医院干部保健科,南京医学博士210002 [2]南京军区南京总医院心脏内科,南京210002

出　　处：《医学研究生学报》2016年第4期392-394,共3页Journal of Medical Postgraduates

基　　金：南京军区南京总医院科研基金(2015063)

摘　　要：目的我国高血压患者血压控制率较低,对其进行随访干预可提高血压控制率。文中旨在探讨随访干预对高血压患者降压疗效的影响。方法选取2013年9月至2014年9月期间在南京军区南京总医院心脏内科门诊治疗的高血压患者125例。根据是否进行门诊后的随访干预分成2组,即随访65例(干预组)、无随访60例(对照组)。比较干预12周后2组血压控制、服药和心脑血管事件发生情况。结果干预12周后,随访干预组收缩压、舒张压、血压达标率明显优于对照组,差异有统计学意义(P<0.05);随访干预组的服药依从性(73.8%)明显优于对照组(43.3%),差异有统计学意义(P<0.01);在随访期间,对照组中分别有1例患者发生急性脑梗塞和不稳定性心绞痛而入院治疗。结论对高血压患者进行门诊后随访干预可提高降压疗效和服药依从性,促进患者建立健康生活方式。Objective The control rate of blood pressure in hypertension patients is very low in our country,while follow-up intervention can significantly improve the situation. This study aimed to evaluate the clinical effects of anti-hypertension under follow-up intervention. Methods From October 2013 to October 2014,125 patients with hypertension were chose as the study objectives after first clinical anti- hypertension and were divided into intervention group（ follow-up,n = 65） and control group（ no follow-up,n = 60）.Comparative analysis was made in blood pressure control,compliance with therapy and cardiovascular event incidence between the two groups after 12 weeks＇ intervention. Results After 12 weeks,diastolic and systolic blood pressure in intervention group was significantly lower than that in control group（ P 〈0. 05）. Significant difference was also found in the compliance with drug-taking between intervention group and control group（ 73. 8% vs 43. 3%,P 〈0. 01）. During the follow-up period,1 case in the control group suffered stroke and unstable angina pectoris hospitalized for treatment. Conclusion Follow-up intervention after clinical service can improve the efficacy of blood pressure control and encourage the patients to live healthy lifestyle.

关 键 词：高血压 随访 依从性 疗效 

分 类 号：R544.1[医药卫生—心血管疾病]