社区规范化管理对高血压患者血压及并发症的影响

Influence of standardized community management on blood pressures and complications in patients with hypertension

目的 :探析对高血压患者实施社区规范化管理的效果。方法 :于2016年1月至12月选择本社区194例高血压患者,依据随机抽签原则将全部患者分成对照组96例,平均年龄为(57.5±7.1)岁,实施常规管理;观察组98例,平均年龄为(56.2±7.3)岁,实施社区规范化管理。比较两组血压和并发症发生情况。结果 :观察组管理后6个月以及1年收缩压和舒张压下降幅度均大于对照组(P<0.05);1年内观察组的并发症发生率为9.18%(9/98),对照组并发症发生率23.96%(23/96),差异有统计学意义(P<0.05)。结论:对高血压患者实施社区规范化管理,可以稳定患者血压,降低并发症发生率,值得广泛应用。

Objective： To analyze the efect of implementation of the community standardized management on patients with hypertension. Methods： From January to December 2016 194 cases of hypertension in the community were selected, and according to the principle of random draw, all patients were divided into a control group of 96 cases of （57.5±7.1） years, and the routine management was implemented, and the observation group of 98 cases with the average age of （56.2±7.3） years, and the community standardized management was implemented. The blood pressures and complications were compared between the two groups. Results： After 6 months and 1 year of management, the systolic and diastolic blood pressures in the observation group decreased more signi？cantly than those in the control group（P〈0.05）. The complication rate of the observation group was 9.18%（9/98） within 1 year, and the complication rate of the control group was 23.96%（23/96）, and the diference was statistically significant（P〈0.05）. Conclusion： Community standardized management of patients with hypertension can stabilize blood pressures and reduce the incidence of complications, which is worthy of extensive application.