CAJ | 학술논문

目的：探讨高血压社区控制技术对心脑血管急性事件发生的影响。方法2010年12月至2013年12月，根据《高血压社区控制技术对心血管病社区人群防治基地建设的影响研究》实施方案选择浙江省嘉兴市秀洲区洪合镇为干预组、王店镇为对照组，对干预组3260例高血压患者进行分级管理，对照组5685例高血压患者进行常规管理。比较二组高血压控制率及心脑血管病急性事件的发生率。结果干预组和对照组高血压控制率分别为80.37％和59.85％，干预组显著高于对照组(P ＜0.01)；2011-2013年干预组心脑血管急性事件205例(721/10万)，心脑血管事件死亡50例(176/10万)，对照组心脑血管急性事件607例(1282/10万)，心脑血管事件死亡139例(293/10万)，两组比较差异有统计学意义(均为 P ＜0.01)。结论高血压社区控制技术能有效提高高血压控制率，减少心脑血管急性事件的发生，其成效是非常显著的。
목적：탐토고혈압사구공제기술대심뇌혈관급성사건발생적영향。방법2010년12월지2013년12월，근거《고혈압사구공제기술대심혈관병사구인군방치기지건설적영향연구》실시방안선택절강성가흥시수주구홍합진위간예조、왕점진위대조조，대간예조3260례고혈압환자진행분급관리，대조조5685례고혈압환자진행상규관리。비교이조고혈압공제솔급심뇌혈관병급성사건적발생솔。결과간예조화대조조고혈압공제솔분별위80.37％화59.85％，간예조현저고우대조조(P ＜0.01)；2011-2013년간예조심뇌혈관급성사건205례(721/10만)，심뇌혈관사건사망50례(176/10만)，대조조심뇌혈관급성사건607례(1282/10만)，심뇌혈관사건사망139례(293/10만)，량조비교차이유통계학의의(균위 P ＜0.01)。결론고혈압사구공제기술능유효제고고혈압공제솔，감소심뇌혈관급성사건적발생，기성효시비상현저적。
Objective To explore the effects of hypertension community control techniques on the incidence of acute cardiovascular and cerebrovascular events. Methods 3 260 hypertension patients from Honghe Town, Xiuzhou District of Zhejiang Province as intervention group, and 5 686 from adjacent Wangdian Town as control group were recruited in a period from December 2010 to December 2013. The hierarchical management techniques were applied in the intervention group ( Honghe) while those in the control (Wangdian) were managed routinely. The proportions of controlled hypertension, occurrence of acute cardiovascular and cerebrovascular events were compared between the two groups. Results The proportion of controlled hypertension in intervention group are 80. 37% which was significantly higher than that in control group 59. 85% ( P < 0. 01) . From 2011 to 2013, the occurrence of acute cardiovascular and cerebrovascular events were 205 (721 / 100 000) in intervention group Vs. 607(1 282 / 100 000) in control group (P < 0. 01), and deaths were 50 (176 / 100 000) in intervention group Vs. 139 (293 / 100 000) in control group ( P < 0. 01 ) respectively. There was significant difference between the two groups. Conclusions Hypertension community control techniques could effectively increase the proportion of controlled hypertension cases, therefore result in the reduction of incidence of acute cardiovascular and cerebrovascular events. Its effect is very significant.