社区高血压慢病管理模式改善高龄EH患者疗效及对血压变异性的影响

Efficacy of community-based hypertension and chronic disease management for senile EH patients and its effect on on blood pressure variability

目的探究社区高血压慢病管理模式改善高龄原发性高血压(EH)患者疗效及对血压变异性(BPV)的影响。方法 100例社区高龄EH患者,随机分为研究组及对照组,每组50例。对照组患者给予常规管理模式,研究组患者采用社区高血压慢病管理模式。观察并比较两组患者管理前后血压控制情况及管理后BPV。结果管理前两组收缩压、舒张压比较差异无统计学意义(P>0.05);管理后两组患者收缩压、舒张压均低于本组管理前,差异均具有统计学意义(P<0.05);管理后研究组患者收缩压、舒张压(98.67±7.35)、(81.45±6.34)mm Hg(1 mm Hg=0.133 k Pa)均明显低于对照组(135.56±8.22)、(91.56±7.12)mm Hg,差异均具有统计学意义(P<0.05)。管理后,研究组患者BPV指标均明显低于对照组,差异均具有统计学意义(P<0.05)。结论对高龄EH患者给予社区高血压慢病管理模式,疗效显著,可明显控制患者血压,有效减少BPV,值得临床推广采用。

Objective To discuss the efficacy of community-based hypertension and chronic disease management for senile essential hypertension（EH） patients and its effect on on blood pressure variability（BPV）. Methods A total of 100 senile EH patients in the community were randomly divided into research group and control group, with 50 cases in each group. The control group received conventional management, and the research group received community-based hypertension and chronic disease management. Observation and comparison were made on control of blood pressure before and after management and BPV after management between two groups. Results Before management, both groups had no statistically significant difference in systolic blood pressure and diastolic blood pressure（P0.05）. After management, both groups had lower systolic blood pressure and diastolic blood pressure than before management, and the difference was statistically significant（P0.05）. After management, the research group had obviously lower systolic blood pressure and diastolic blood pressure as（98.67±7.35） and（81.45±6.34） mm Hg（1 mm Hg=0.133 k Pa） than（135.56±8.22） and（91.56±7.12） mm Hg in the control group, and their difference was statistically significant（P0.05）. After management, the research group had obviously lower BPV than the control group, and the difference was statistically significant（P0.05）. Conclusion Community-based hypertension and chronic disease management provides remarkable efficacy for senile EH patients, and can obviously control blood pressure of patients and effectively reduce BPV. It is worthy of clinical promotion and application.