不同慢病管理模式干预高血压患者的2年随访评价  

Evaluation on 2-year follow-up of different chronic disease management models for hypertension patients

作　　者：韩杨[1,2] 王彦红 杨绍明[3] 刘成龙[1] HAN Yang;WANG Yan-hong;YANG Shao-ming;LIU Cheng-long(Rizhao Hospital of Traditional Chinese Medicine,Rizhao,Shandong,276800,China;不详)

机构地区：[1]日照市中医医院,山东276800 [2]清华大学医学院 [3]日照市疾病预防控制中心

出　　处：《预防医学论坛》2022年第8期575-578,共4页Preventive Medicine Tribune

基　　金：山东省日照市科技研发项目(KJYF2019339)。

摘　　要：目的评价不同健康管理模式对高血压患者的2年干预效果。方法选择在山东省日照市专业健康管理机构、综合医院、专业体检机构中进行慢病管理的高血压病患者150例,以日照市中加国际健康管理中心管理的高血压病患者为干预组,以日照市某综合医院管理的高血压病患者为对照组1,以日照市某连锁体检机构管理的高血压病患者为对照组2。每组各50例。干预组患者予以全面系统的综合健康管理;对照组1、对照组2患者进行健康宣教后予以药物降压。研究对象随访不少于2年,比较三组患者干预前后的各项健康指标,包括血压控制率、血压值、体质指数(BMI)、腰臀比(WHR)、脂肪率、TC、LDL-C等。结果干预组干预后的收缩压、舒张压均低于干预前(P均<0.01)。干预组干预后的BMI、WHR、脂肪率、TC、LDL-C等均低于干预前(P均<0.05)。干预组干预1年、2年时的收缩压、舒张压均低于对照组1、对照组2(P均<0.05),血压控制率均高于对照组1、对照组2(P均<0.05)。结论专业健康管理机构通过对高血压患者进行全面健康管理,可更加有效地控制患者血压情况、改善健康指标。Objective To evaluate the effect of different health management models on hypertension patients for 2years.Methods A total of 150patients with hypertension who underwent chronic disease management in professional health management institutions,general hospitals and professional physical examination institutions in Rizhao city,Shandong province were selected.The patients with hypertension managed by Sino-Canadian International Health Management Center in Rizhao city were selected as the intervention group,the patients with hypertension managed by ageneral hospital in Rizhao city were selected as the control group 1,and the patients with hypertension managed by a chain physical examination institution in Rizhao city were selected as the control group 2.There were 50cases in each group.Patients in the intervention group received comprehensive and systematic health management;control group 1,control group 2patients after health education to drug antihypertensive.The subjects were followed up for not less than 2years.The health indicators of the 3groups before and after intervention were compared,including blood pressure control rate,blood pressure value,body mass index(BMI),waist-to-hip ratio(WHR),fat rate,TC and LDL-C.Results The systolic blood pressure and diastolic blood pressure in the intervention group were lower than those before intervention(P<0.01).BMI,WHR,fat rate,TC and LDL-C in the intervention group after intervention were lower than those before intervention(P<0.05).The systolic blood pressure and diastolic blood pressure of the intervention group at 1year and 2years of intervention were lower than those of the control group 1and the control group 2(P<0.05),and the blood pressure control rate was higher than that of the control group 1and the control group 2(P<0.05).Conclusion Professional health management institutions can more effectively control the blood pressure of patients and improve health indicators through comprehensive health management of patients with hypertension.

关 键 词：高血压病 全面健康管理 慢病管理 血压 血脂 

分 类 号：R544.1[医药卫生—心血管疾病] R181.37[医药卫生—内科学]