昌平区中医药应用于社区高血压病管理中的结果分析

TCM Hypertension Management in the Changping district

目的:探讨中医药在社区高血压病管理中的作用,为制定高血压病防控措施提供理论依据。方法:采取整群抽样法,抽取昌平区5个社区,对2012年3月-2013年2月慢性病管理对象中的高血压病患者进行抽样。由统一培训后的专业技术人员(团队)将抽取的观察对象随机分为对照组和实验组。对照组:团队人员按《北京市社区慢性病管理手册》要求,进行高血压社区健康的规范化管理。实验组:在实施对照组管理内容的基础上增加中医药内容。数据采用SAS8.0软件进行统计分析。结果:实验组的中医证候群,生活质量的生理、躯体化症状、睡眠状况、人际关系、焦虑性五个方面的变化与对照组比较有显著性差异(P<0.05),血压正常构成差异有统计学意义(x2=20.75,P<0.05),血压平稳率提高了31.11%。中医保健知识知晓率提高85.43%。结论:中医药在社区高血压病的健康管理中对改善患者症状、提高生活质量、控制和平稳血压具有较好的促进作用。

Objective： To investigate the role of TCM in hypertension. Methods： A cluster sampling method was applied in Changping District; in 5 community for sampling hypertensive patients since March 2012 to February 2013. Control group： the team members followed the“Beijing chronic disease management manual”requirements. Experimental group：TCM treatment was added more than the control group. Data were statistically analyzed with SAS8.0 software. TCM syndrome group in the experimental group, physiological quality of life, somatization, sleep, relationships, anxiety, changes in five areas of the control group had a significant difference （P〈0.05）, the statistically significant difference of BP constitute （x2=20.75, P〈0.05）, blood pressure was stable more by 31.11%. TCM health knowledge got 85.43%increased. Conclusion： TCM health management of hypertension can improve symptoms, quality of life, BP control.