不同管理模式对高血压肾脏早期损害病人的影响

Influence of different management models on hypertension patients with early renal damage

[目的]分析高血压群组管理和社区常规管理对高血压肾脏早期损害病人的肾损害指标的影响。[方法]将120例高血压肾病病人分为干预组(60例)和对照组(60例),干预组实施为期3个月的群组管理,对照组接受社区的常规管理,两组在干预前后分别检测尿微量白蛋白及血清胱抑素C。[结果]干预后两组尿微量白蛋白阳性率和胱抑素C异常率都下降,但是组间差异无统计学意义(P>0.05)。3个月后干预组尿微量白蛋白阳性率从55.4%下降到26.8%,差异有统计学意义(P<0.05);血清胱抑素C异常率干预后从85.7%下降到53.6%,差异有统计学意义(P<0.05)。对照组血清胱抑素C的异常率从85.5%下降到41.8%,差异有统计学意义(P<0.05)。[结论]高血压群组管理和社区常规管理都有利于改善高血压肾病病人的肾脏损害,群组管理具有更多的优势。

Objective：To analyze the influence of hypertension group management and community routine management on renal damage index in hypertension patients with early renal damage.Methods：A total of 120 cases of hypertension patients were divided into intervention group and control group,60 cases in each.Patients in intervention group received a three-month group management,patients in control group received the community routine management.The urinary albumin and serum cystatin C were measured in both groups before and after the intervention.Results：After the intervention,the positive rate of urinary albumin and abnormal rate of cystatin C declined in both groups,but no statistically significant difference between groups（P〉0.05）.After three months,urine albumin-positive rate in intervention group decreased from 55.4%to 26.8%,the difference was statistically significant（P〉0.05）;abnormal rate of serum cystatin C after intervention decreased from 85.7%to 53.6%,and the difference was statistically significant（P〈0.05）.The abnormal rate of serum cystatin C in control group decreased from 85.5%to 41.8%,and the difference was statistically significant（P〈0.05）.Conclusion：Hypertension group management and community routine management can improve the kidney damage in hypertension patients,but the group management has more advantages.