高血压临床路径的建立及其在综合性医院与社区双向转诊中的应用探讨

Development of clinical pathway of hypertension and clinical two-way referral mechanism between general hospital and urban community

目的探讨高血压临床路径的建立及其在综合性医院与社区双向转诊中的应用。方法通过对符合高血压诊断标准的入选者752例,随机分为两组(临床路径并双向转诊组与传统就诊模式组),对其进行为期两年的干预,观察两组人群高血压诊疗满意度及血压控制情况。结果临床路径并双向转诊组整体服务满意度、血压、血脂、肾功能、新发腔隙性脑梗死发生率、眼底病变有明显改善,与对照组比较差异有显著性。结论高血压临床路径的建立及其在综合性医院与社区双向转诊中的应用可使高血压病的诊疗活动规范化、优质化,可作为高血压有效的防治管理模式。

【Objective】To study the effect of development of clinical pathway of hypertension in clinical two-way referral mechanism between general hospital and urban community. 【Methods】752 essential hypertensive patients were divided into two groups： clinical two-way referral group and tradition group. The degree of satisfaction and standard rate of blood pressure through two years’ interference were observed.【Results】Degree of satisfaction, standard rate of blood pressure and blood lipids in clinical two-way referral group were significant in tradition group. Renal function, lacunar infarction incidence and fundus lesions of clinical two-way referral group were obviously improved than tradition group. 【Conclusions】 The clinical pathway of hypertension and clinical two-way referral mechanism between general hospital and urban community can increase the normalization and quality of diagnose and treatment on hypertension, so that it is an effective management method for hypertension.