综合疗法联合常规药物治疗社区老年高血压的临床效果观察

Clinical Effect Observation on Comprehensive Therapy Combined with Conventional Drug Treatment of Elderly Hypertension in Community

目的:分析综合疗法联合常规药物治疗社区老年高血压的临床效果。方法:选择2022年1月—2023年12月北京市海淀区东升镇社区卫生服务中心收治的94例社区老年高血压患者作为研究对象,随机分为对照组(n=47,采用常规药物治疗)和试验组(n=47,在对照组基础上实施综合疗法)。对比两组血压水平、临床疗效、自我管理能力评分、并发症发生情况。结果:治疗前,两组收缩压、舒张压对比,无统计学差异(P>0.05);治疗后,两组收缩压、舒张压下降,且试验组低于对照组(P<0.05)。试验组治疗总有效率高于对照组(P<0.05)。治疗前,两组治疗管理、饮食运动管理、生活习惯管理、危险因素管理评分及总分对比,无统计学差异(P>0.05);治疗后,两组治疗管理、饮食运动管理、生活习惯管理、危险因素管理评分及总分升高,且试验组高于对照组(P<0.05)。试验组并发症总发生率低于对照组(P<0.05)。结论:综合疗法联合常规药物治疗社区老年高血压的临床效果良好,可显著降低血压水平,增强患者自我行为管理能力,有效预防并发症发生,应用价值较高。

Objective:To analyze the clinical effect of comprehensive therapy combined with conventional drug treatment of elderly hypertension in the community.Methods:A total of 94 elderly hypertensive patients admitted to Dongsheng Town Community Health Service Center in Haidian District of Beijing from January 2022 to December 2023 were selected as the study subjects.They were randomly divided into a control group(n=47,implementing conventional drug treatment)and an experimental group(n=47,implementing comprehensive therapy on the basis of control group).The blood pressure levels,clinical efficacy,self-management ability score and occurrence of complications in the two groups were compared.Results:Before treatment,there was no statistically significant difference in systolic blood pressure and diastolic blood pressure between the two groups(P>0.05).After treatment,systolic blood pressure and diastolic blood pressure decreased in the two groups,and these indicators in the experimental group were lower than those in the control group(P<0.05).The total effective rate of treatment in the experimental group was higher than that in the control group(P<0.05).Before treatment,there were no statistically significant differences in treatment management,diet and exercise management,lifestyle management,risk factor management scores and total scores between the two groups(P>0.05).After treatment,the treatment management,diet and exercise management,lifestyle management,risk factor management scores and total scores increased in the two groups,and the scores in the experimental group were higher than those in the control group(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion:Comprehensive therapy combined with conventional drug treatment of elderly hypertension in the community has good clinical effect,and can significantly reduce blood pressure levels,enhancepatients'self-behavior management ability,and effectively prevent the occurrence of complications,with high application value.