CAJ | 학술논문

不同社区管理模式对高血压患者并发心脑血管疾病的影响
불동사구관리모식대고혈압환자병발심뇌혈관질병적영향
Impact of community-based different hypertension management models on the incidence of cardio-cerebrovascular disease in hypertensive patients

万方数据

上海预防医学上海預防醫學 상해예방의학
Shanghai Journal of Preventive Medicine
2015年 10期 605-608 ,共4页

芮欣忆%阮晓楠%周弋%邱桦%周先锋%吴抗%于思雨%王小楠%郝莉鹏%张鸿%彭云%毕文婕

예흔억%원효남%주익%구화%주선봉%오항%우사우%왕소남%학리붕%장홍%팽운%필문첩

高血压%社区管理模式%心脑血管疾病高血壓%社區管理模式%心腦血管疾病
고혈압%사구관리모식%심뇌혈관질병
Hypertension%Community based management model%Cardio-cerebrovascular disease

目的：评价不同社区管理模式对高血压患者并发心脑血管疾病的影响。方法2008年8月—2012年12月在浦东新区部分社区开展高血压不同管理模式的对照研究，招募符合纳入标准的1578名高血压患者作为研究对象并随机分为管理组和对照组。对照组采用常规高血压管理方法，管理组采用细节管理，由健康专员及社区医师负责随访以及相关资料收集。结果管理组的心脑血管发病率（1．33％）小于对照组（4．22％），差异有统计学意义（ P＜0．05）。多因素logistic回归分析显示，男性、年龄升高、高血压病程增长、有高血压家族史、血肌酐升高、低密度脂蛋白胆固醇升高均为心脑血管事件的危险因素（P均＜0．05），而管理组发生心脑血管事件的风险是对照组的0．348倍（ P＜0．05）。结论高血压细节管理相对于常规管理有优势，能有效减少心脑血管事件。
목적：평개불동사구관리모식대고혈압환자병발심뇌혈관질병적영향。방법2008년8월—2012년12월재포동신구부분사구개전고혈압불동관리모식적대조연구，초모부합납입표준적1578명고혈압환자작위연구대상병수궤분위관리조화대조조。대조조채용상규고혈압관리방법，관리조채용세절관리，유건강전원급사구의사부책수방이급상관자료수집。결과관리조적심뇌혈관발병솔（1．33％）소우대조조（4．22％），차이유통계학의의（ P＜0．05）。다인소logistic회귀분석현시，남성、년령승고、고혈압병정증장、유고혈압가족사、혈기항승고、저밀도지단백담고순승고균위심뇌혈관사건적위험인소（P균＜0．05），이관리조발생심뇌혈관사건적풍험시대조조적0．348배（ P＜0．05）。결론고혈압세절관리상대우상규관리유우세，능유효감소심뇌혈관사건。
Objective To evaluate different hypertension management models in communities and their impact on incidence of cardio-cerebrovascular disease in hypertensive patients. Methods A total of 1 578 hypertension patients in several communities in Pudong New Area were recruited in the study ( August 2008 to December 2012 ) according to the inclusion criteria and randomly divided into two groups.The control group was given routine hypertension management and the study group was given detailed hypertension management, while health commissioners and community physicians were in charge of the follow-up and data collection. Results The incidence of cardio-cerebrovascular disease (1.33%) in study group (1.33%) was significantly lower than that of the control group (4.22%) ( P <0.05). Multivariate logistic regression analysis showed that age, male, course-of-disease, patients with hypertension family history, increase in SCr and LDL-C increased the risk for getting ardio-cerebrovascular disease (P <0.05).The risk of study group was 0.348 times the control group ( P <0.05). Conclusion Compared with control group, detailed hypertension management model conducted in study group has the advantages that effectively reduced the rate of cardio-cerebrovascular disease.