CAJ | 학술논문

目的：观察原发性高血压（ EH）患者接受社区综合干预治疗后血压改善效果。方法选取2013年2月至2014年2月我社区诊治的70例原发性高血压患者，患者EH分级为Ⅱ～Ⅲ级，随机分为两组，每组35例。对照组接受常规药物治疗，实验组在此基础上联合非药物治疗措施进行干预，包括运动锻炼、生活指导以及健康知识宣教等。观察两组降压治疗效果以及降压平稳性；3月后进行病情随访，并对患者血压进行动态监测。结果3月后，实验组患者24 h平均动脉压、舒张压及收缩压降幅更为明显，更优于对照组，差异具有统计学意义（P＜0．05）。结论对于EHⅡ、Ⅲ级患者而言，社会综合治疗可收到满意的干预效果，可在有效降压的基础上确保降压平稳性，为患者生命健康提供有效保障。
목적：관찰원발성고혈압（ EH）환자접수사구종합간예치료후혈압개선효과。방법선취2013년2월지2014년2월아사구진치적70례원발성고혈압환자，환자EH분급위Ⅱ～Ⅲ급，수궤분위량조，매조35례。대조조접수상규약물치료，실험조재차기출상연합비약물치료조시진행간예，포괄운동단련、생활지도이급건강지식선교등。관찰량조강압치료효과이급강압평은성；3월후진행병정수방，병대환자혈압진행동태감측。결과3월후，실험조환자24 h평균동맥압、서장압급수축압강폭경위명현，경우우대조조，차이구유통계학의의（P＜0．05）。결론대우EHⅡ、Ⅲ급환자이언，사회종합치료가수도만의적간예효과，가재유효강압적기출상학보강압평은성，위환자생명건강제공유효보장。
Objective To observe the essential hypertension ( EH ) patients receiving integrated community intervention to improve blood pressure after treatment .Methods 70 cases of patients with diagnosis and treatment of primary hypertension in our community health service center from February 2013 to February 2014, EH graded as grade Ⅱ ~Ⅲ, were randomly divided into two groups , 35 cases of each group .The control group were treated with conventional drug therapy , the experimental group were treated with non-drug treatment based on this , including exercise , life coaching and health knowledge missionary etc .Antihypertensive effect and smooth buck of the two groups were observed .3 months after the disease follow-up, the patient's blood pressure was dynamically monitored .Results After 3 moths, the experimental group patients'24h mean arterial pressure , diastolic and systolic blood pressure fell more obvious , more than the control group , there was statistical significance(P<0.05).Conclusions EHⅡ,Ⅲgrade patients, comprehensive treatment of social intervention can receive satisfactory results , ensuring smooth buck on the basis of an effective , provide effective protection for the life and health of patients .