基于中医状态学老年人高血压慢性病管理效果评价

Evaluation of management effect of hypertension chronic disease based on traditional Chinese medicine status

目的:探讨基于中医状态学的高血压中医健康管理体系相较于现行的社区高血压规范化管理措施提升老年人高血压慢性病管理的效果。方法:基于前期李灿东团队的中医健康研究和实践经验,建立了基于中医状态学的社区家庭医生守门人的太医院式中医健康管理体系。将其运用于福建省福州市鼓楼区11家社区卫生服务中心,从“已病态”层次进行示范应用。老年人高血压患者224例,分为对照组、观察组;分别应用新旧体系进行健康管理6个月后对比评价效果。结果:末期(6个月后)随访,与对照组比较,观察组收缩压、症状及SF36评分下降更明显。结论:该中医健康管理体系能有效控制高血压的血压值水平,改善高血压的不适症状和生活质量。

Objective:To explore the effectiveness of hypertension chronic disease management in the elderly by traditional Chinese medicine(TCM)health management system based on state of TCM compared with the current standardized community hypertension management measures.Methods:Based on the TCM health research and practical experience of professor LI Candong's team in the early stage,the hospital-style TCM health management system with the gatekeeper of community family doctors based on TCM status science was established.It was applied to the Il community health service centers in Fuzhou city from the levelof'sick status'level.A total of 224 elderly hypertension patients were divided into control group and observation group and compared with the old and new system for health management for 6 months.Results:The decrease in SBP,symptoms,and SF36 were more significant in the end-stage follow-up control group compared with the observation group.Conclusion:The study showed that the TCM health management system could effectively control the blood pressure level of hypertension,improved the uncomfortable symptoms and quality of life of hypertension.