智慧化高血压远程管理模式的实例分析

Example analysis of the intelligent remote management mode of hypertension

目的:探讨智慧化高血压远程管理模式在高血压患者管理中的实用效果。方法:研究对象为2022年2月—2023年11月在安徽医科大学附属第一医院就诊的高血压患者,分为对照组和实验组,对照组采用普通血压管理模式,实验组采用智慧化高血压远程管理模式,各管理3个月。评价项目包括血压、血糖、血脂、尿酸、肌酐、体重指数(body mass index,BMI)、药物依从性、肱踝脉搏波传导速度(brachial-ankle pulse wave velocity,baPWV)及血流介导的血管扩张功能(flow mediated dilation,FMD)的变化。结果:与管理前比较,管理后两组收缩压下降、舒张压下降、FMD升高、baPWV下降(P<0.05)。与对照组管理后比较,实验组管理后收缩压下降、舒张压下降、总胆固醇下降、尿酸下降、LDL-C下降、血糖下降、baPWV下降、FMD升高、药物依从性升高(P<0.05)。结论:智慧化高血压远程管理模式可有效提高血压控制效果,提高患者服药依从性,改善高血压患者baPWV及FMD指标。

Objective To explore the practical effect of intelligent remote hypertension management mode in the management of hypertension patients.Methods The subjects were hypertension patients who were treated in the First Affiliated Hospital of Anhui Medical University from February 2022 to November 2023.They were divided into control group and experimental group.The control group adopted the general blood pressure management mode,and the experimental group adopted the intelligent remote hypertension management mode,and each was managed for 3 months.Evaluation items included blood pressure,blood glucose,lipids,uric acid,creatinine,body mass index(BMI),medication adherence,brachial-ankle pulse wave velocity(baPWV)and flow mediated dilation(FMD).Results Compared with before management,systolic blood pressure decreased,diastolic blood pressure decreased,FMD increased and baPWV decreased in both groups after management(P<0.05).Compared with the control group,systolic blood pressure,diastolic blood pressure,total cholesterol,uric acid,LDL-C,blood glucose,baPWV were decreased,FMD and medication adherence were increased in the experimental group after management(P<0.05).Conclusion Intelligent remote hypertension management model can effectively improve the effect of blood pressure control,improve patients'medication compliance,and improve the indexes of baPWV and FMD in hypertensive patients.