社区高血压慢性病管理模式对预防并发症的作用探究

Role of community hypertension management mode for chronic diseases in preventing complications

目的分析和探讨社区高血压慢性病管理模式对于预防并发症的作用。方法选择从2012年12月-2016年12月我社区已确诊的144例原发性高血压患者为研究对象,根据管理模式不同分成观察组(行慢性病管理模式)和对照组(行常规社区门诊管理模式),两组各72例。两组管理模式各执行4年,4年后对两组收缩压(SBP)、舒张压(DBP)的降低幅度进行统计,并统计出4年后两组并发症的发生情况。结果 4年后,观察组SBP降低幅度为(21.9±5.7)mm Hg,显著高于对照组的(13.3±4.4)mm Hg,DBP降低幅度为(13.0±4.3)mm Hg,显著高于对照组的(8.2±2.8)mm Hg,比较差异具有统计学意义(P<0.01);观察组并发症发生率为6.67%,显著低于对照组的13.89%,比较差异具有统计学意义(P<0.05)。结论对社区高血压患者应用慢性病管理模式,可有效缓解患者的高血压状态,并减少并发症的发生,具有较高的应用价值。

Objective To investigate the role of community hypertension management mode in preventing complications. Methods A total of 144 patients who were diagnosed with primary hypertension from December 2012 to December 2016 in our community were enrolled as subjects. According to the difference in management mode, these patients were divided into observation group（management mode for chronic diseases, 72 patients） and control group（conventional management mode, 72 patients）. The management mode was performed for 4 years, and the reductions in systolic blood pressure（SBP） and diastolic blood pressure（DBP） and the incidence of complications after 4 years were analyzed for both groups. Results Compared with the control group, the observation group had significantly greater reductions in SBP（21.9±5.7 mm Hg vs 13.3±4.4 mm Hg, P〈0.01） and DBP（13.0±4.3 mm Hg vs 8.2±2.8 mm Hg, P〈0.01）after 4 years. The observation group had a significantly lower incidence rate of complications than the control group（6.67% vs 13.89%, P〈0.05）. Conclusion In patients with community hypertension, the management mode for chronic diseases can effectively alleviate their hypertensive state and reduce complications, and therefore, it holds promise for clinical application.