预防管理模式对老年高血压病人血压及心血管事件的影响  

Effects of preventive management model on blood pressure and cardiovascular events in elderly patients with hypertension

作　　者：吴从印 李伟[1] 管频[1] 王玲[1] 李艳[1] WU Congyin;LI Wei;GUAN Pin;WANG Ling;LI Yan(Provincial Medical and Health Care Center,Hainan Provincial People’s Hospital,Haikou Orthopaedics and Diabetes Hospital,Haikou,Hainan 570000,China)

机构地区：[1]海南省人民医院海南省医疗保健中心,海口市骨科与糖尿病医院,海南海口570000

出　　处：《安徽医药》2020年第11期2181-2184,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨预防管理模式对老年高血压病人血压与心血管事件的影响。方法选择2016年9月至2017年9月海南省人民医院收治的老年高血压病人180例,通过随机数字表法分为对照组(n=90)与观察组(n=90),对照组展开常规管理模式,观察组展开预防管理模式,比较两组血压变化、心血管事件发生情况、依从性与生活质量。结果观察组在管理后血压控制效果优于对照组,心血管事件发生率7.8%相比对照组24.4%降低,观察组在管理后依从性与生活质量综合评定问卷(GQOLI-74)各维度评分较对照组提高,均差异有统计学意义(P<0.05)。结论对老年高血压病人行预防管理模式,可较好地控制血压水平,减少心血管事件的发生,提高生活质量,可将其广泛应用在临床中。Objective To study the effects of preventive management on blood pressure and cardiovascular events in elderly patients with hypertension.Methods A total of 180 elderly hypertensive patients admitted to Hainan Provincial People’s Hospital from September 2016 to September 2017 were selected and divided into two groups by the method of digital random table:the reference group(n=90)and the research group(n=90).The patients in the reference group were given the routine management mode.The patients in the research group were given the preventive management mode.Changes of blood pressure level,occurrence of cardiovascular events,compliance and quality of life were compared between the two groups.Results After management,the control effect of blood pressure level in the research group was better than that in the control group,the incidence of cardiovascular events was lower than that in the control group(7.8%vs.24.4%),while the scores of compliance and GQOLI-74 quality of life in management were higher than those in the control group,and there was a significant difference between the two groups(P<0.05).Conclusion The preventive management model for elderly patients with hypertension can better control the blood pressure level,reduce the occurrence of cardiovascular events,improve the quality of life of patients,and can be widely used in clinical practice.

关 键 词：高血压 预防管理模式 血压 心血管事件 老年人 

分 类 号：R544.1[医药卫生—心血管疾病]