我国高血压社区综合干预效果的Meta分析  

Meta analysis on the effect of integrated mode of community hypertension intervention in China

作　　者：张晨韵[1] 蔡晓露[2] 黄慧玲[3] 张文昌[4] 

机构地区：[1]福建医科大学公共卫生学院卫生法学与卫生政策学系,福建福州350108 [2]福建省漳州市医院医务科,福建漳州363000 [3]福建医科大学附属协和医院第十九病区,福建福州350001 [4]福建医科大学公共卫生学院预防医学系,福建福州350108

出　　处：《中华疾病控制杂志》2017年第6期627-631,共5页Chinese Journal of Disease Control & Prevention

基　　金：福建省教育厅中青年教师教育科学项目（JAS150259）; 福建医科大学“环境与健康重点实验室”新技术研究与应用项目（201506）

摘　　要：目的研究和评价现阶段我国不同地区的高血压社区综合干预效果,为高血压社区干预方式的选择和优化提供依据。方法收集2009-2015年中国知网、万方、维普、中国生物医学文献等数据库相关文献,严格按照制定的纳入与排除标准选择文献。根据异质性检验结果,采用随机效应模型计算合并效应值,进行高血压社区综合干预总体效果的Meta分析;并分别以城乡、长江以南和以北地区进行亚组分析。结果最终纳入14篇文献。Meta分析结果显示,高血压干预效果的合并效应值为0.64（95%CI：0.60~0.68）,差异有统计学意义（Z=32.61,P〈0.001）;城市和农村地区的合并效应值分别为0.66和0.57,差异均有统计学意义（均有P〈0.001）;长江以南和以北地区的合并效应值分别为0.63和0.64,差异均有统计学意义（均有P〈0.001）。结论我国（城市或农村、长江以南或以北地区）高血压社区综合干预均存在明确的效果。Objective To evaluate the effects of the integrated mode of community hypertension intervention in different regions of China at this stage and to provide evidences for selecting and optimizing the mode of community hypertension intervention in China. Methods Related articles published between 2009 and 2015 were searched through China national knowledge infrastructure （CNKI）, VIP Chinese science and technology periodical database （VIP） , wanfang data （Wan_fang）, Chinese biomedical literature database （CBM） , and evaluated with the inclusion and exclusion criteria strict- ly. We used random effects model to calculate the effective size based on the result of heterogeneity analysis to evaluate total effect of integrated mode of community hypertension intervention with meta-analysis, and then conducted subgroup analysis based on region （ urban and rural area, or the southern and northern area of the Yangtze River）. Results A total of 14 articles met inclusion criteria. The results showed that the effective size of effect of integrated mode of community hypertension intervention was 0. 64（95% CI：O. 60-0. 68） ,the difference was statistically significant（ Z = 32. 61 ,P 〈 0. 001 ） ; The effective size of urban and rural area were 0. 66 and 0. 57, the difference were statistically significant （ P 〈 0. 001 ） ; The ef- fective size of the southern and northern area were 0. 63 and 0. 64, the difference were statistically significant （ P 〈 0. 001 ）. Conclusion The effects of the integrated mode of community hypertension intervention in hina （ including the urban or rural crea, the southern or northern area of the Yangtze river） is definite.

关 键 词：高血压 医院 社区 干预性研究 META分析 

分 类 号：R544.1[医药卫生—心血管疾病] R181.2[医药卫生—内科学]