民族区域内基层医院高血压临床规范诊断现状调查

Retrospective analysis of diagnosis and treatment of hypertension in primary hospital in ethnical autonomous region

目的：探讨民族区域内，基层医院各科间，对高血压住院患者诊断规范、血压控制状况现状临床分析。方法：回顾性分析2002-01-01—2006—12—31，某医院共收治的3578例高血压病患者，依据患者住院时科别，住院及出院血压控制是否稳定，逐一列表统计分析。结果：某医院共有9个临床科室，对原发性高血压患者诊断以及血压控制存在显著差异性，总体趋势，内科诊断、住院、出院血压控制好于外科，结论：基层医务工作者，应正确引导民族区域内高血压患者对本病的重视程度，规范高血压诊断、血压控制理想，减少血管并发症的发生，在民族区域内势在必行。

Objective： To compare the differences in the diagnosis and treatment outcome of hypertension among different departments of primary hospital in ethnical autonomous region. Methods： A total of 3 578 patients with hypertension admitted into our hospital from January 2002 to December 2006 were submitted to this retrospective study, and all clinical data were analyzed statistically. Results： There were significant differences in the diagnosis and therapeutic efficacy of hypertension among nine clinical departments. The total rates of diagnosis and blood pressure control in internal medicine were higher than those in surgery medicine. Conclusions： In ethnical autonomous region, primary health care for patients with hypertension should be carried out in primary hospital, including the diagnosis and treatment of hypertensive disease and the prevention of cardiovascular complications.