CAJ | 학술논문

目的：：探讨分析对高血压病患者根据心血管危险性分层与针对性治疗的临床应用效果。方法：回顾性分析某院自2013年5月~2014年5月心血管内科门诊收治的高血压病患者164例，按完全随机的方法分为对照组和观察组，每组82例。对照组采取常规方法进行控制血压，观察组患者首先对病人进行心血管危险性进行分层，然后按照分层结果进行针对性治疗措施，所有患者均通过门诊随访或电话随访对病人的血压控制情况进行跟踪调查，观察两组患者治疗前后的血压控制情况和观察组患者在治疗前后危险性分层的患者比例。结果：经过3个月的治疗，两组患者的血压水平均有下降，与治疗前相比其差异有统计学意义(P<0.05)；与对照组相比，观察组患者的血压控制效果更加明显，经对比其差异有统计学意义(P<0.05)；观察组患者在治疗前后其心血管危险性进行分层中极高危和高危的例数明显减少，经对比其差异具有统计学意义(P<0.05)。结论：对于高血压病患者通过进行心血管危险性分层，然后采取针对性的治疗，其效果更加明显，对于降低患者的心血管事件具有明显的优势，值得在临床上推广。
목적：：탐토분석대고혈압병환자근거심혈관위험성분층여침대성치료적림상응용효과。방법：회고성분석모원자2013년5월~2014년5월심혈관내과문진수치적고혈압병환자164례，안완전수궤적방법분위대조조화관찰조，매조82례。대조조채취상규방법진행공제혈압，관찰조환자수선대병인진행심혈관위험성진행분층，연후안조분층결과진행침대성치료조시，소유환자균통과문진수방혹전화수방대병인적혈압공제정황진행근종조사，관찰량조환자치료전후적혈압공제정황화관찰조환자재치료전후위험성분층적환자비례。결과：경과3개월적치료，량조환자적혈압수평균유하강，여치료전상비기차이유통계학의의(P<0.05)；여대조조상비，관찰조환자적혈압공제효과경가명현，경대비기차이유통계학의의(P<0.05)；관찰조환자재치료전후기심혈관위험성진행분층중겁고위화고위적례수명현감소，경대비기차이구유통계학의의(P<0.05)。결론：대우고혈압병환자통과진행심혈관위험성분층，연후채취침대성적치료，기효과경가명현，대우강저환자적심혈관사건구유명현적우세，치득재림상상추엄。
Objective:To explore and analyze the clinical effect of targeted treatment operated on patients with high blood pressure patients according to the clinical application of cardiovascular risk stratification. Methods:Make retrospective analysis on the data of 164 patients with hypertension received in OPD of vascu-locardiology department of some hospital during the period from May 2013 to May 2014 ,Randomly divide them into control group and observation group,82 cases for each group.Control group adopted conventional method to control the blood pressure,while in observation group ,firstly,cardiovascular risk stratification was made for patients ,and then targeted treatment was carried out in accordance with the results of stratifi-cation Follow-up surveys were paid to,through outpatient follow-up or telephone follow-up to follow up pa-tients'blood pressure control situation,observe the control of blood pressure of patients in both group before and after treatment and the proportion of patients belonging to each risk level in observation group before and after the treatment.Results:After 3 months of treatment,blood pressure of patients in both group with blood pressure declined ,the difference was statistically significant compared with that before treatment (P<0.05).Compared with control group,the control effect on blood pressure of patients in observation group was more obvious,by comparing,the difference was statistically significant (P< 0.05 ).In observation group ,to compare with that before treatment,the proportion of patients in extremely high risk and high risk declined after treatment according to cardiovascular risk stratification significantly,by comparing,the differ-encestatistically significant (P< 0.05).Conclusion:To carry out cardiovascular risk stratification for patients with hypertension and then take the corresponding treatment is more effective,it is significantly superior in respect to reducing cardiovascular events ,clinically,it is worth popularizing .