中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
34期
4109-4111
,共3页
孙小迪%连素琴%阎春生%马艳丽
孫小迪%連素琴%閻春生%馬豔麗
손소적%련소금%염춘생%마염려
民族地区%健康档案%高血压管理
民族地區%健康檔案%高血壓管理
민족지구%건강당안%고혈압관리
Multi-national region%Health record%Hypertension management
目的：了解甘肃省民族与非民族地区居民建档、高血压管理情况。方法于2013年5月，采用随机整群抽样的方法，从民族与非民族地区分别抽取临夏州康乐县、武威市凉州区为研究现场，从基层单位获得数据，包括常住居民总人口数，常住居民城镇、农村人口数，居民健康档案累计建档总人份数，高血压规范管理人数等；现场随机对566例（其中康乐县264例、凉州区302例）居民进行高血压管理调查，为居民测量血压，并填写《现场血压测量记录表》，记录是否确诊、是否按时服药、是否被管理、管理是否有效等。结果2012年，康乐县城镇、农村居民纸质（电子）健康档案建档率分别为93.78%、93.17%（93.78%、93.17%），凉州区分别为81.83%、86.23%（76.17%、86.21%）；2012年康乐县、凉州区高血压管理率分别为80.02%、32.93%；2013年，现场调查得到康乐县血压有效控制率为10.9%（12/110），凉州区为25.5%（24/94）。结论民族地区居民建档率、高血压管理率均高于非民族地区，但两地高血压控制率均<30%。
目的：瞭解甘肅省民族與非民族地區居民建檔、高血壓管理情況。方法于2013年5月，採用隨機整群抽樣的方法，從民族與非民族地區分彆抽取臨夏州康樂縣、武威市涼州區為研究現場，從基層單位穫得數據，包括常住居民總人口數，常住居民城鎮、農村人口數，居民健康檔案纍計建檔總人份數，高血壓規範管理人數等；現場隨機對566例（其中康樂縣264例、涼州區302例）居民進行高血壓管理調查，為居民測量血壓，併填寫《現場血壓測量記錄錶》，記錄是否確診、是否按時服藥、是否被管理、管理是否有效等。結果2012年，康樂縣城鎮、農村居民紙質（電子）健康檔案建檔率分彆為93.78%、93.17%（93.78%、93.17%），涼州區分彆為81.83%、86.23%（76.17%、86.21%）；2012年康樂縣、涼州區高血壓管理率分彆為80.02%、32.93%；2013年，現場調查得到康樂縣血壓有效控製率為10.9%（12/110），涼州區為25.5%（24/94）。結論民族地區居民建檔率、高血壓管理率均高于非民族地區，但兩地高血壓控製率均<30%。
목적：료해감숙성민족여비민족지구거민건당、고혈압관리정황。방법우2013년5월，채용수궤정군추양적방법，종민족여비민족지구분별추취림하주강악현、무위시량주구위연구현장，종기층단위획득수거，포괄상주거민총인구수，상주거민성진、농촌인구수，거민건강당안루계건당총인빈수，고혈압규범관리인수등；현장수궤대566례（기중강악현264례、량주구302례）거민진행고혈압관리조사，위거민측량혈압，병전사《현장혈압측량기록표》，기록시부학진、시부안시복약、시부피관리、관리시부유효등。결과2012년，강악현성진、농촌거민지질（전자）건강당안건당솔분별위93.78%、93.17%（93.78%、93.17%），량주구분별위81.83%、86.23%（76.17%、86.21%）；2012년강악현、량주구고혈압관리솔분별위80.02%、32.93%；2013년，현장조사득도강악현혈압유효공제솔위10.9%（12/110），량주구위25.5%（24/94）。결론민족지구거민건당솔、고혈압관리솔균고우비민족지구，단량지고혈압공제솔균<30%。
Objective To learn the current situation about establishment of resident health records and hypertension managements between multi-national and single-national regions in Gansu province. Methods In May,2013 by means of ran-dom cluster sampling method,multi-national and single-national regions in Kangle County of Linxia State and Liangzhou Dis-trict of Wuwei City selected as the research objects. The research data were obtained from the grassroots health unit,including the total population of the permanent residents,the population of the permanent residents in towns and counties,the total numbers of the files of resident health record accumulated and the overall numbers of hypertension residents under management. Our research-ers investigated 566 residents on the spot(264 from Kangle,302 from Liangzhou)to carry out hypertension management cam-paigns:measuring blood pressure for the residents,guiding them to fill in the" blood pressure record table" including" being diagnosed or not"," taking medicine on time or not"," being managed or not"," the management being effective or not". Re-sults In 2012,the rates of established paper( electronic)health records in towns and villages were 93. 78%,93. 17%(93. 78%,93. 17%) in Kangle County,and 81. 83%,86. 23%(76. 17%,86. 21%) in Liangzhou District respectively;the management rates of hypertension in Kangle County and Liangzhou district was 80. 02%,32. 93% respectively;the effective control rates of blood pressure investigated on the site were 10. 9%(12/110) in Kangle County and 25. 5%(24/94) in Liang-zhou District. Conclusion The rate of established health records and management rate of hypertension in Multi-national regions are both higher than those of Single-national regions,but the blood pressure effective control rates are both lower than 30%.
