上海医药
上海醫藥
상해의약
SHANGHAI MEDICAL & PHARMACEUTICAL JOURNAL
2014年
22期
45-47
,共3页
龚祖斌%范诚%郑柯发%李燕萍
龔祖斌%範誠%鄭柯髮%李燕萍
공조빈%범성%정가발%리연평
高血压%药费减免%管理率%农村
高血壓%藥費減免%管理率%農村
고혈압%약비감면%관리솔%농촌
hypertension%drug fee free%management rate%rural area
目的：观察高血压药费减免在农村高血压管理中的效果。方法：对上海金泽镇4个自然村35岁以上人群进行血压普查，1907名高血压患者为研究对象。随机抽取1个自然村为对照组，其余3村为实验组。两组均开展高血压知识健康讲座、建立健康档案，定期随访血压、行心血管风险评估、指导健康的生活方式和合理用药等；实验组的降压药物费用，在新型农村合作医疗报销比例的基础上再减免20%，对照组不减免。比较1年后两组高血压患者的血压变化情况。结果：1年后，实验组的收缩压、舒张压均低于对照组，差异有统计学意义（P<0.05）。实验组患者的控盐率、运动锻炼率、规范服药率、定期测量血压率均高于对照组，差异有统计学意义（P<0.05）。结论：对农村高血压患者开展高血压药费减免是提高高血压管理效果的有效途径之一。
目的：觀察高血壓藥費減免在農村高血壓管理中的效果。方法：對上海金澤鎮4箇自然村35歲以上人群進行血壓普查，1907名高血壓患者為研究對象。隨機抽取1箇自然村為對照組，其餘3村為實驗組。兩組均開展高血壓知識健康講座、建立健康檔案，定期隨訪血壓、行心血管風險評估、指導健康的生活方式和閤理用藥等；實驗組的降壓藥物費用，在新型農村閤作醫療報銷比例的基礎上再減免20%，對照組不減免。比較1年後兩組高血壓患者的血壓變化情況。結果：1年後，實驗組的收縮壓、舒張壓均低于對照組，差異有統計學意義（P<0.05）。實驗組患者的控鹽率、運動鍛煉率、規範服藥率、定期測量血壓率均高于對照組，差異有統計學意義（P<0.05）。結論：對農村高血壓患者開展高血壓藥費減免是提高高血壓管理效果的有效途徑之一。
목적：관찰고혈압약비감면재농촌고혈압관리중적효과。방법：대상해금택진4개자연촌35세이상인군진행혈압보사，1907명고혈압환자위연구대상。수궤추취1개자연촌위대조조，기여3촌위실험조。량조균개전고혈압지식건강강좌、건립건강당안，정기수방혈압、행심혈관풍험평고、지도건강적생활방식화합리용약등；실험조적강압약물비용，재신형농촌합작의료보소비례적기출상재감면20%，대조조불감면。비교1년후량조고혈압환자적혈압변화정황。결과：1년후，실험조적수축압、서장압균저우대조조，차이유통계학의의（P<0.05）。실험조환자적공염솔、운동단련솔、규범복약솔、정기측량혈압솔균고우대조조，차이유통계학의의（P<0.05）。결론：대농촌고혈압환자개전고혈압약비감면시제고고혈압관리효과적유효도경지일。
Objective:To observe the effect of hypertension drug fee free in the management of hypertension in the rural areas. Methods:The blood pressure of the population above 35 years old in four villages of Jinze Town of Shanghai were screened and 1 907 patients diagnosed as hypertension were conifrmed as the subjects, and 1 village was randomly selected as the control group and the remaining 3 ones as the experiment group. Both groups were given the hypertension knowledge lectures, establishment of the health ifles, regular following-up blood pressure, cardiovascular risk assessment, guidance of the healthy life way and the rational use of drugs, and the costs of the antihypertensive drugs in the experiment group were reduced 20%based on the new rural health insurance reimbursement ratio but not in the control group. The changes of blood pressure in two groups were compared one year later. Results:One year later the systolic and diastolic blood pressures in the experimental group were lower than those in the control group, and the difference had the statistical signiifcance (P<0.05). The salt controlling rate, exercise rate, standardized medication rate, and regular blood pressure measurement in the experiment group were higher than those in the control group, and the difference had the statistical signiifcance (P<0.05). Conclusion:Implementation of the hypertension drug fee free for the patients with hypertension in the rural areas is one of the effective ways to improve the hypertension management.
