摘要
目的:为评价苏州市高血压社区规范化管理项目的实施效果,作者进行了专题研究。方法:应用前瞻性研究方法,通过社区规范化管理组(研究组,n=81 711)和社区常规管理组(对照组,n=38 944)分别对管理对象血压控制情况进行评估;另收集社区未管理对象组(未管理组,n=164 4249),并利用苏州市慢性病报病信息对2010年规范管理、常规管理和未曾管理的脑卒中和冠心病发病率进行比较。结果:通过对研究组81 711例和对照组38 944例的评估,研究组管理终期较初期血压平均值下降13.78/7.06mm Hg;研究组血压控制优良率显著高于对照组(P<0.01),差异有统计学意义;2010年规范管理、常规管理和未曾管理的脑卒中发病率分别为1.72%、2.41%和3.59%(P<0.01),冠心病发病率分别为0.43%、0.66%和1.29%(P<0.01),差异均有统计学意义。结论:高血压社区规范化管理项目对患者血压控制率优于社区一般管理,对控制脑卒中和冠心病发生的影响作用强于社区一般管理。
Objective： To evaluate the effect of standard management for hypertension in community population of Suzhou city. Methods： We conducted a prospective study of standard management for hypertension in community population of Suzhou city. The project included 3 groups： Standard group, the patients received standardized management,n=81 711, Control group, the patients received general management, n=38 944, and No-management group,n=1 644 249. The incidence rate of stroke and coronary artery disease （CAD） were compared among different groups according to 2010 chronic disease report of Suzhou city. Results： Compared with initial condition, the final average blood pressure drop in Standard group was （13.78/7.06） mmHg, which was better than that in Control group, X2=1852.91,P〈0.01. The incidence rate of stroke in Standard group, Control group and No-management group were 1.72%, 2.41% and 3.59%, the incidence rate of CAD were 0.43%, 0.66% and 1.29% respectively. Conclusion： Standard management for hypertension was better than general management for preventing and controlling the incidence of stroke and CAD in community population.
出处
《中国循环杂志》
CSCD
北大核心
2014年第10期796-799,共4页
Chinese Circulation Journal
关键词
高血压
社区
规范管理
评估
效果
Hypertension
Community
Standard management,Evaluation,Effect
