慢性病规范管理对原发性高血压的疗效观察

The effects of standardized chronic disease management on blood pressure control in essential hypertensive patients

目的:探讨慢性病规范管理服务模式干预原发性高血压的临床疗效。方法:112例原发性高血压患者,随机分为试验组和对照组,对照组指常规应用降压药物治疗,试验组指在常规降压药治疗基础上提供主动、连续、综合及个性化的健康责任制管理,连续6个月观察两组依从性和血压达标率。结果:1试验组与对照组干预前后依从性、不良行为及生活方式比较差异均有统计学意义(P<0.05);2试验组血压达标率为71.4%,对照组血压达标率28.6%,两组比较差异有统计学意义(P<0.05)。结论:慢性病规范管理模式有利于提高原发性高血压病的血压达标率。

Objective： To explore the effects of standardized chronic disease management services models on blood pressure control of essential hypertension. Methods： 112 subjects with essential hypertension were randomly divided into control group and intervention group. Patients were treated routinely with anti-hypertensive drugs in the control group,while patients were given objective,sequential,comprehensive and personalized health management services on the basis of routine treatment assigned in the intervention group. Patients were followed up for 12 months. Results： 1. The compliance and risks were different significantly between the control and intervention group（ P 0. 05）. 2. The control rate was 91. 7% in the intervention group and31. 5% in the control group,with a significant difference（ P 0. 05）. Conclusion： Standardized chronic disease management services models helped to improve the blood pressure control rate.