CAJ | 학술논문

目的观察在基层地区推广高血压适宜技术的防治效果和经济学意义,寻求可行性的高血压防治方案.方法对推广社区为期2年的系统管理、行为干预和药物干预,观察2年后相关指标的变化.结果推广适宜技术后基层医务工作人员的高血压知识、技能水平提高(P＜0.01)；推广后高血压患者的服药率、控制率均得到提高(P＜0.01)；高血压患者月平均费用较管理前减少(P＜0.05).结论在农村地区推广高血压适宜技术有效,并具有一定的经济学意义,值得临床进一步推广.
목적 관찰재기층지구추엄고혈압괄의기술적방치효과화경제학의의,심구가행성적고혈압방치방안.방법 대추엄사구위기2년적계통관리、행위간예화약물간예,관찰2년후상관지표적변화.결과 추엄괄의기술후기층의무공작인원적고혈압지식、기능수평제고(P＜0.01)；추엄후고혈압환자적복약솔、공제솔균득도제고(P＜0.01)；고혈압환자월평균비용교관리전감소(P＜0.05).결론 재농촌지구추엄고혈압괄의기술유효,병구유일정적경제학의의,치득림상진일보추엄.
Objective To observe the effectiveness and economic evaluation of appropriate technique for hypertension in community.Methods Systematic management,behavioral intervention and drug intervention were promoted for a period of 2 years in the community and the related index changes were observed after 2 years.Results After promoting appropriate technique,the hypertension knowledge,skill level in medical staff were improved (P ＜ 0.01).The treatment rate,control rate of hypertension were higher than 2 years ago (P ＜ 0.01).The average monthly cost of hypertensive patients was reduced(P ＜ 0.05).Conclusion It is effective to promote appropriate technique of hypertension in community.