CAJ | 학술논문

选择在上海市宝山区6家社区卫生中心就诊的519例高血压患者,采取以三级医院联合多家社区卫生服务中心进行高血压综合干预,共462例完成1年随访.结果显示,干预后患者较干预前对高血压危害的知晓率明显提高(83.1％比56.1％),不良生活方式改善;血压控制达标率明显提高(89.6％比56.1％);相关危险因素控制率均提高;高血压患者的颈-股动脉脉搏波速度、颈-桡动脉脉搏波速度降低;均P＜0.01或0.05.提示,以大医院为核心,联合社区卫生中心进行高血压综合干预是控制高血压病的良好方式.
선택재상해시보산구6가사구위생중심취진적519례고혈압환자,채취이삼급의원연합다가사구위생복무중심진행고혈압종합간예,공462례완성1년수방.결과현시,간예후환자교간예전대고혈압위해적지효솔명현제고(83.1％비56.1％),불량생활방식개선;혈압공제체표솔명현제고(89.6％비56.1％);상관위험인소공제솔균제고;고혈압환자적경-고동맥맥박파속도、경-뇨동맥맥박파속도강저;균P＜0.01혹0.05.제시,이대의원위핵심,연합사구위생중심진행고혈압종합간예시공제고혈압병적량호방식.
Five hundred and nineteen patients with essential hypertension from 6 community health centers in Baoshan Distract of Shanghai were enrolled in the program,all patients received direct or indirect comprehensive interventions.These interventions were conducted by doctors from tertiary hospitals and community health serwice centers.Among these hyperpietic,462 patients were followed-up for 1 year.After interventions,the awareness rate of hypertension was significantly increased,unhealthy life styles were changed; blood pressure control rate and risk factors control rate were also increased; carotid-femoral artery pulse wave velocity and carotid-radial artery pulse wave velocity were decreased (P ＜ 0.01 or P ＜ 0.05).The results indicate that comprehensive interventions organized by tertiary hospitals with community health centers are effectivc in managcmcnt of hypcrtension.