社区高血压病患者在远程监护下的中医防治

Treatment and Prevention of Traditional Chinese Medicine in Hypertension Patients by a Remote Monitoring System

目的：探讨社区居民高血压病患者知晓率,通过远程血压监测和中医传统调理治疗,旨在及时发现高血压病患者和减少血压升高所造成的危害。方法：随机选择152例,年龄50~60岁,平均年龄（54.2±5.3）岁,既往无高血压病史及冠心病史,每例进行1周的动态血压监测。结果：本组研究中对152例研究对象均实施1周的连续血压监测,发现高血压病患者总计93例（93/152,61.18%）,其中单纯性收缩压增高患者47例（47/152,30.92%）,1级高血压病患者32例（32/152,21.05%）,2级高血压病患者14例（14/152,9.21%）;发现血压异常后,通过网络视频、音频联系患者询问病史、诊脉等了解病情,及时指导生活方式、传统中医调理方法进行治疗,单纯性收缩压组血压恢复正常为47例（47/47,100%）,1级高血压组血压恢复正常为29例（29/32,90.62%）,2级高血压组血压恢复正常为10例（10/14,71.42%）,总计血压转正常为86例（86/93,92.47%）;血压升高各组治疗前后收缩压比较均呈显著性差异（P均〈0.01）。结论：①在无高血压病病史的社区居民中通过远程血压监测可以发现高血压病患者;②通过及时的指导生活方式、传统中医调理方法进行治疗,有明显的降压效果。

Objective Our purpose was to detect hypertension and to reduce the harm caused by high blood pressure through a remote blood pressure monitoring system and treatment of traditional Chinese medicine, In addition, we discussed about community awareness of hypertension patients. Methods We randomly selected 152 patients, age（50-60）, average age（54.2±5.3） with no previous history of hypertension and coronary heart disease. Each patient had a week of ambulatory blood pressure monitoring （ABPM）. Results Total patients with hypertension were found 93 cases （93/152, 61.18%）, in which simple systolic blood pressure in patients 47（47/152, 30.92%）, first degree hypertension patient 32（32/152, 21.05%）, second degree hypertension patient 14 （14/152, 9.21%）. Whenever abnormal blood pressures were detected, doctors would review illness history and contact patients through video or audio meeting in internet, diagnose the troubles and so understanding of his illness. Then doctors can timely guide life style and treat with traditional Chinese method. As results, the simple systolic blood pressure group found normal 47 cases （47/47, 100%）, the first degree hypertension group found normal 29 cases （29/32, 90.62%）, the second degree hypertension group found normal 10 cases （10/14, 71.42 %）, total Switch to normal blood pressure 86 （86/93, 92.47%）. Systolic blood pressure compared before and after treatment in each group showed differences show （P 〈 0.01）. Conclusion Hypertension can be found through remote monitoring of blood pressure among community residences without previous history of illness. Through Timely guidance of life, treatments of traditional Chinese method, there was a clear antihypertensive effect.