基于云平台的远程无线实时血压监测系统对高血压病的控制率和达标率的影响

Effects of blood pressure dynamic telemonitoring system on treatment,control and compliance rates of hypertension

目的：探讨基于云平台的远程无线实时血压监测系统对高血压病控制率和达标率的影响,提高医生及时调整降压药物的便捷性与准确性。方法：选择262例高血压病1～3级患者,随机分为对照组（132例）和干预组（130例）。对照组由心内科医生据患者偶测血压门诊经验用药,患者自行安排日常血压监测;干预组由心内科医生据患者远程无线实时血压监测情况随时进行降压药物调整,有即时短信和电话指导生活方式。治疗干预共8周,比较两组血压控制率和达标率的差异。结果：干预组实施远程动态监测4～8周后,高血压控制率和达标率分别为96.6%和92.5%,对照组高血压控制率和达标率分别为35.2%和31.9%,两组控制率和达标率差异显著（均P〈0.05）。干预组再门诊率（2.3%）与再住院率（2%）均明显低于对照组的再门诊率（51.5%）与再住院率（18.9%）（均P〈0.05）。结论：通过远程无线实时血压监测系统可以有效提高高血压病的控制率和达标率,同时便于临床医生即时监测患者血压,为提供个性化的高血压治疗方案提供了有效手段。

Objectlve：To analyze the blood pressure dynamic telemonitoring system on treatment, control and compliance rates of hypertension. Method： A total of 262 subjects with hypertension were randomized into inter~ vent：on group anda control group. The intervention group was arranged for the blood pressure dynamic telemoni- toring for 4-8 weeks, the control group made their own arrangements of daily blood pressure monitoring. Result： The control and compliance rates of hypertension was 96.6% and 92.5% in intervention group, and 35.2% and 31.9% in control group （both P〈0.05）. Conclusion：Dynamic telemonitoring on hypertension population can ef- fectively increase treatment, control and compliance rates of hypertension. Dynamic telemonitoring system pro- rides an effective way for the treatment of hypertension.