CAJ | 학술논문

目的：分析慢病管理对社区高血压患者治疗效果的影响。方法将124例高血压患者随机分为慢病管理组（64例）与对照组（60例）。两组均进行常规药物治疗，慢病管理组除药物治疗外，实行慢病管理，建立慢病档案、健康生活方式指导，1年内定期随访。结果慢病管理组血压达标率高于对照组（<0.05）；治疗后慢病管理组体重指数低于治疗前（<0.05），总胆固醇、低密度脂蛋白水平明显低于治疗前（<0.01）；治疗前后对照组体重指数、总胆固醇、甘油三酯、低密度脂蛋白水平无明显变化（>0.05）。结论慢病管理有利于高血压患者血压控制，有利于高血压患者建立良好的生活方式，应在社区诊疗中积极推广。
목적：분석만병관리대사구고혈압환자치료효과적영향。방법장124례고혈압환자수궤분위만병관리조（64례）여대조조（60례）。량조균진행상규약물치료，만병관리조제약물치료외，실행만병관리，건립만병당안、건강생활방식지도，1년내정기수방。결과만병관리조혈압체표솔고우대조조（<0.05）；치료후만병관리조체중지수저우치료전（<0.05），총담고순、저밀도지단백수평명현저우치료전（<0.01）；치료전후대조조체중지수、총담고순、감유삼지、저밀도지단백수평무명현변화（>0.05）。결론만병관리유리우고혈압환자혈압공제，유리우고혈압환자건립량호적생활방식，응재사구진료중적겁추엄。
Objective To explore the ef ect of chronic disease management to the patients with hypertension . Methods 124 patients with hypertension were randomly divided into two groups:chronic disease management group and none chronic disease management group.The two groups were treated with hypertension drugs. The chronic disease management group were establish files and were educated about the knowledge of healthy life. The patients of chronic disease management group were fol owed up at least four times in one year. Results The blood pressure control of chronic disease management group was bet er than none chronic disease management group ( <0.05). The body mass index decreased after treatment for chronic disease management group ( <0.05).But the level of body mass index ,total cholesterol and low density lipoprotein cholesterol were no dif erence after treatment for none chronic disease management group ( >0.05). Conclusion Chronic disease management is bet er to control hypertension, and be helpful for developing good life style .