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目的 :评价社区内综合干预对高血压病防治的影响。方法 :对社区内高血压病患者进行定点、定时监测 ,综合干预前瞻性前后对照研究。结果 :社区内普查出 873名高血压病患者 ,综合干预后 ,患者对高血压的知晓率、治疗率、控制率显著提高 (P <0 0 1) ,参与运动率增加 (P <0 0 1) ,吸烟率降低(P <0 0 5 ) ,脑血管急性发生率显著降低 (P <0 0 1) ,复发率降低 (P <0 0 1) ,急性冠状动脉事件减少 (P<0 0 1)。结论 :对高血压病患者开展社区内综合干预是有效可行的。
Objective: To evaluate the effect of comprehensive intervention in community on the prevention and control of hypertension. Methods: Hypertensive patients in the community were sentinelly and regularly monitored, and the comprehensive intervention was prospectively controlled. Results: 873 hypertensive patients were detected in the community. After the intervention, the awareness of hypertension, the treatment rate and the control rate were significantly increased (P <0.01), and the exercise rate was increased (P <0.01 ), The smoking rate decreased (P <0 05), the incidence of cerebrovascular disease decreased significantly (P 0 01), the recurrence rate decreased (P 0 01), and the incidence of acute coronary events decreased ). Conclusion: Comprehensive intervention in hypertensive patients is feasible and effective.