CAJ | 학술논문

[目的]分析高血压群组管理和社区常规管理对高血压肾脏早期损害病人的肾损害指标的影响。[方法]将120例高血压肾病病人分为干预组(60例)和对照组(60例)，干预组实施为期3个月的群组管理，对照组接受社区的常规管理，两组在干预前后分别检测尿微量白蛋白及血清胱抑素C。[结果]干预后两组尿微量白蛋白阳性率和胱抑素 C 异常率都下降，但是组间差异无统计学意义(P>0.05)。3个月后干预组尿微量白蛋白阳性率从55.4%下降到26.8%，差异有统计学意义(P<0.05)；血清胱抑素 C 异常率干预后从85.7%下降到53.6%，差异有统计学意义(P<0.05)。对照组血清胱抑素 C 的异常率从85.5%下降到41.8%，差异有统计学意义(P<0.05)。[结论]高血压群组管理和社区常规管理都有利于改善高血压肾病病人的肾脏损害，群组管理具有更多的优势。
[목적]분석고혈압군조관리화사구상규관리대고혈압신장조기손해병인적신손해지표적영향。[방법]장120례고혈압신병병인분위간예조(60례)화대조조(60례)，간예조실시위기3개월적군조관리，대조조접수사구적상규관리，량조재간예전후분별검측뇨미량백단백급혈청광억소C。[결과]간예후량조뇨미량백단백양성솔화광억소 C 이상솔도하강，단시조간차이무통계학의의(P>0.05)。3개월후간예조뇨미량백단백양성솔종55.4%하강도26.8%，차이유통계학의의(P<0.05)；혈청광억소 C 이상솔간예후종85.7%하강도53.6%，차이유통계학의의(P<0.05)。대조조혈청광억소 C 적이상솔종85.5%하강도41.8%，차이유통계학의의(P<0.05)。[결론]고혈압군조관리화사구상규관리도유리우개선고혈압신병병인적신장손해，군조관리구유경다적우세。
Obj ective:To analyze the influence of hypertension group management and community routine management on renal damage index in hypertension patients with early renal damage.Methods:A total of 120 cases of hypertension patients were divided into intervention group and control group,60 cases in each.Patients in intervention group received a three month group management,patients in control group received the community routine management.The urinary albumin and serum cysta-tin C were measured in both groups before and after the intervention.Re-sults:After the intervention,the positive rate of urinary albumin and ab-normal rate of cystatin C declined in both groups,but no statistically sig-nificant difference between groups (P>0.05).After three months,urine albumin positive rate in intervention group decreased from 5 5 .4% to 26.8%,the difference was statistically significant (P>0.05);abnormal rate of serum cystatin C after intervention decreased from 85.7% to 53.6%, and the difference was statistically significant (P<0.05).The abnormal rate of serum cystatin C in control group decreased from 85.5%to 41.8%, and the difference was statistically significant (P<0.05 ).Conclusion:Hypertension group management and community routine management can improve the kidney damage in hypertension patients,but the group management has more advantages.