中国全科医学2013,Vol.16Issue(7):802-804,3.DOI:10.3969/j.issn.1007-9572.2013.03.027
社区高血压细节管理对高血压患者并发脑卒中的影响
Impact of Community-based Detailed Hypertension Management on the Incidence of Stroke in Hypertensive Patients
郑东鹏1
作者信息
- 1. 200231上海市徐汇区华泾镇社区卫生服务中心
- 折叠
摘要
Abstract
Objective To evaluate the effect of community - based detailed hypertension management on control of blood pressure and incidence of stroke in hypertensive patients. Methods Data from the hypertension management database of a community health center in Shanghai between January 2008 and January 2012 were used. A total of 360 cases of hypertensive patients were selected using health screening. They were randomly and evenly divided into two groups after informed consent from each subject were obtained. The patients in the study group were given detailed hypertension management, and the patients in the control group were given chronic disease routine management. Results Mean systolic blood pressure, mean diastolic blood pressure, and mean pulse pressure were significantly different before and after management in both groups ( P <0. 01 ). The decreases in mean systolic blood pressure, mean diastolic blood pressure, and mean pulse pressure in the detailed management group were significantly larger than those of the routine management group ( P <0. 05 ). The stroke incidence rate in the detailed management group ( 15. 56% ) was significantly lower than that in the routine management group ( 28. 89% ) ( P <0. 01 ). Conclusion The community - based detailed hypertension management is more effective than the chronic disease routine management in blood pressure control and stroke prevention in hypertensive patients.关键词
社区/高血压/细节管理/脑卒中Key words
Community/ Hypertension/ Details management/ Stroke分类
医药卫生引用本文复制引用
郑东鹏..社区高血压细节管理对高血压患者并发脑卒中的影响[J].中国全科医学,2013,16(7):802-804,3.