中国循证心血管医学杂志
中國循證心血管醫學雜誌
중국순증심혈관의학잡지
CHINESE JOURNAL OF EVIDENCE-BASES CARDIOVASCULAR MEDICINE
2015年
4期
484-486
,共3页
自测血压%老年高血压患者%社区卫生服务
自測血壓%老年高血壓患者%社區衛生服務
자측혈압%노년고혈압환자%사구위생복무
Blood pressure self-test%Elderly hypertensive patients%Community health service
目的：分析自测血压方式在社区老年高血压患者管理中的作用。方法选取自2010年5月~2012年9月于北京市丰台区蒲黄榆社区卫生服务中心收治的老年高血压患者256例，其中男性143例，女性113例，年龄65~83岁，平均（72.23±10.34）岁。随机将其分为对照组和观察组，每组128例。其中对照组给予常规高血压规范化管理，观察组在对照组的基础上采取自测血压方式。比较干预1年后两组患者的血压情况、遵医行为及用药和不良反应情况。结果与对照组干预后比较，观察组收缩压下降[（145.35±9.54）mmHg vs.（133.85±7.52）mmHg]，舒张压下降[（85.62±5.73）mmHg vs.（81.28±6.41）mmHg]，（1 mmHg=0.133kPa）差异有统计学意义（P均＜0.05）。观察组干预后较对照组服药依从率、高血压知晓率及血压控制达标率均升高，差异有统计学意义（P均＜0.05）。观察组干预后维持初始剂量患者的比例显著高于对照组，加量比例和退出率均显著低于对照组，差异有统计学意义（P均＜0.05）。观察组的不良反应发生率显著低于对照组（7.81% vs.17.18%），差异有统计学意义（P=0.023）。结论采取自测血压的干预方式能够显著控制老年高血压患者血压水平，降低不良反应发生率，值得在社区医院中推广。
目的：分析自測血壓方式在社區老年高血壓患者管理中的作用。方法選取自2010年5月~2012年9月于北京市豐檯區蒲黃榆社區衛生服務中心收治的老年高血壓患者256例，其中男性143例，女性113例，年齡65~83歲，平均（72.23±10.34）歲。隨機將其分為對照組和觀察組，每組128例。其中對照組給予常規高血壓規範化管理，觀察組在對照組的基礎上採取自測血壓方式。比較榦預1年後兩組患者的血壓情況、遵醫行為及用藥和不良反應情況。結果與對照組榦預後比較，觀察組收縮壓下降[（145.35±9.54）mmHg vs.（133.85±7.52）mmHg]，舒張壓下降[（85.62±5.73）mmHg vs.（81.28±6.41）mmHg]，（1 mmHg=0.133kPa）差異有統計學意義（P均＜0.05）。觀察組榦預後較對照組服藥依從率、高血壓知曉率及血壓控製達標率均升高，差異有統計學意義（P均＜0.05）。觀察組榦預後維持初始劑量患者的比例顯著高于對照組，加量比例和退齣率均顯著低于對照組，差異有統計學意義（P均＜0.05）。觀察組的不良反應髮生率顯著低于對照組（7.81% vs.17.18%），差異有統計學意義（P=0.023）。結論採取自測血壓的榦預方式能夠顯著控製老年高血壓患者血壓水平，降低不良反應髮生率，值得在社區醫院中推廣。
목적：분석자측혈압방식재사구노년고혈압환자관리중적작용。방법선취자2010년5월~2012년9월우북경시봉태구포황유사구위생복무중심수치적노년고혈압환자256례，기중남성143례，녀성113례，년령65~83세，평균（72.23±10.34）세。수궤장기분위대조조화관찰조，매조128례。기중대조조급여상규고혈압규범화관리，관찰조재대조조적기출상채취자측혈압방식。비교간예1년후량조환자적혈압정황、준의행위급용약화불량반응정황。결과여대조조간예후비교，관찰조수축압하강[（145.35±9.54）mmHg vs.（133.85±7.52）mmHg]，서장압하강[（85.62±5.73）mmHg vs.（81.28±6.41）mmHg]，（1 mmHg=0.133kPa）차이유통계학의의（P균＜0.05）。관찰조간예후교대조조복약의종솔、고혈압지효솔급혈압공제체표솔균승고，차이유통계학의의（P균＜0.05）。관찰조간예후유지초시제량환자적비례현저고우대조조，가량비례화퇴출솔균현저저우대조조，차이유통계학의의（P균＜0.05）。관찰조적불량반응발생솔현저저우대조조（7.81% vs.17.18%），차이유통계학의의（P=0.023）。결론채취자측혈압적간예방식능구현저공제노년고혈압환자혈압수평，강저불량반응발생솔，치득재사구의원중추엄。
Objective To analyze the effect of self-test blood pressure in community management of elderly hypertensive patients. Methods The elderly hypertensive patients (n=256, male 143, female 113, aged from 65 to 83 and average age=72.23±10.34) were chosen from May 2010 to Sept. 2012, and randomly divided into control group and observation group (each n=128). The control group was given routine hypertension standardized management and observation group was given self-test blood pressure intervention besides of the same intervention as that in control group. The changes of blood pressure, compliance behaviors, drug administration and adverse reactions were compared between 2 groups after 1 y. Results In observation group, systolic blood pressure decreased [(145.35±9.54) mmHg vs. (133.85±7.52) mmHg] and diastolic blood pressure decreased [(85.62±5.73) mmHg vs. (81.28±6.41) mmHg] compared with control group after intervention (all P<0.05). In observation group, the compliance rate of drug taking, awareness rate of hypertension and blood pressure control rate all increased compared with control group (all P<0.05) after intervention. The percentage of patients maintained initial dose was significantly higher, and percentage of patients with increased dose and dropout rate were significantly lower in observation group than those in control group (all P<0.05) after intervention. The incidence of adverse reactions was significantly lower in observation group than that in control group (7.81%vs. 17.18%, P=0.023). Conclusion The intervention mode of self-test blood pressure can significantly control the level of blood pressure and reduce incidence of adverse reactions in elderly hypertensive patients, which is worth to be popularized in community hospitals.
