中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
22期
97-98
,共2页
老年高血压%全科医学管理%心血管事件
老年高血壓%全科醫學管理%心血管事件
노년고혈압%전과의학관리%심혈관사건
Elderly hypertensive%General medical management%Cardiovascular events
目的：探讨全科医学管理模式在控制老年高血压患者血压及减少心血管事件发生中的效果。方法：选择本院2010年1月-2013年1月收治的老年高血压患者2000例作为研究对象，采用随机数字表法将所选患者分成全科医学管理组（A组）、常规药物管理组（B组）及对照组（C组），比较干预前后三组患者血压改善情况及心血管事件发生情况。结果：干预后，三组患者的收缩压均较干预前降低，A组舒张压较干预前降低，A组血压改善情况优于B组及C组，B组收缩压改善情况优于C组，以上各项比较差异均有统计学意义（P<0.05）；随访1年后三组心血管事件发生情况比较差异有统计学意义（P<0.05）。结论：全科医学管理模式可以较好的控制老年高血压患者的血压，同时可以减少心血管事件的发生。
目的：探討全科醫學管理模式在控製老年高血壓患者血壓及減少心血管事件髮生中的效果。方法：選擇本院2010年1月-2013年1月收治的老年高血壓患者2000例作為研究對象，採用隨機數字錶法將所選患者分成全科醫學管理組（A組）、常規藥物管理組（B組）及對照組（C組），比較榦預前後三組患者血壓改善情況及心血管事件髮生情況。結果：榦預後，三組患者的收縮壓均較榦預前降低，A組舒張壓較榦預前降低，A組血壓改善情況優于B組及C組，B組收縮壓改善情況優于C組，以上各項比較差異均有統計學意義（P<0.05）；隨訪1年後三組心血管事件髮生情況比較差異有統計學意義（P<0.05）。結論：全科醫學管理模式可以較好的控製老年高血壓患者的血壓，同時可以減少心血管事件的髮生。
목적：탐토전과의학관리모식재공제노년고혈압환자혈압급감소심혈관사건발생중적효과。방법：선택본원2010년1월-2013년1월수치적노년고혈압환자2000례작위연구대상，채용수궤수자표법장소선환자분성전과의학관리조（A조）、상규약물관리조（B조）급대조조（C조），비교간예전후삼조환자혈압개선정황급심혈관사건발생정황。결과：간예후，삼조환자적수축압균교간예전강저，A조서장압교간예전강저，A조혈압개선정황우우B조급C조，B조수축압개선정황우우C조，이상각항비교차이균유통계학의의（P<0.05）；수방1년후삼조심혈관사건발생정황비교차이유통계학의의（P<0.05）。결론：전과의학관리모식가이교호적공제노년고혈압환자적혈압，동시가이감소심혈관사건적발생。
Objective:To investigate the effect of general medical management model in controlling the blood pressure and reducing the occurrence of cardiovascular events of elderly patients with hypertension.Method:2000 senile hypertension patients in our hospital from January 2010 to January 2013 were selected as the research objects.They were randomly divided into the general medical management group(group A),the conventional drug management group(group B)and the control group (group C).The improvement situation of blood pressure and the occurrence situation of cardiovascular events were compared among the three groups before and after the intervention.Result:After the intervention,the systolic blood pressure of the three groups was lower than before,the diastolic blood pressure of group A was lower than before,the improvement situation of systolic blood pressure in group A was better than that in group B and group C,the improvement situation of systolic blood pressure in group B was better than that in group C,the differences above were all statistically significant(P<0.05).After follow-up of 1 year,the difference in the occurrence situation of cardiovascular events of the three groups was statistically significant(P<0.05). Conclusion:General medical management can better control the blood pressure of elderly hypertensive patients and reduce the occurrence of cardiovascular events.
