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目的探讨、总结高血压规范管理方法、病因分析,如何进一步做好高血压规范管理。方法以镜湖区高长街社区为自然单位,辖区内总人口7800人,65岁以上老年人588人,35～65岁3814人,35岁以下3986人。在辖区内逐一登门建档,发现高血压>140/90mmHg详细询问病史确诊高血压登记、建档、健康管理。自2008年1月开始进行管理,目前高血压562人,其中65岁以上384人,男289人,女273人,文化程度:大专以上73人,中学269人,小学68人,小学及文盲153人。结果血压控制满意率大大提高,管理前<30%,管理后>80%,吸烟人数由27.93%降至21.00%,饮酒28.85%降至16.90%,运动由15.84%上升至45.91%,食盐量(11.2±2.5)g/天降至(6.2±3.1)g/天,P值均<0.01。结论通过高血压的规范管理指导正确服药,血压控制满意率大大提高,合理饮食,不良行为纠正,降低心血管事件发生率提高生活质量有重要意义。
Objective To explore and summarize the standard management of hypertension, etiological analysis, how to further standardize the management of hypertension. Methods Taking Gaochang Street community in Jinghu District as a natural unit, the total population in the jurisdiction is 7,800, including 588 seniors over 65 years old, 3814 seniors aged 35-65, and 3,986 aged 35 years and younger. In the area one by one archives and found that high blood pressure> 140 / 90mmHg detailed history of hypertension diagnosed, registration, health management. Since January 2008, there are 562 hypertension patients, including 384 over the age of 65, 289 males and 273 females. The educational level is 73 majors, 269 middle schools, 68 primary schools, primary schools and illiterates. people. Results The satisfaction rate of blood pressure control was greatly improved. Before the management, the rate of satisfaction was greatly improved. The number of smokers dropped from 27.93% to 21.00%, the drinking rate dropped from 28.85% to 16.90%, the movement from 15.84% to 45.91% 11.2 ± 2.5) g / day to (6.2 ± 3.1) g / day, all P <0.01. Conclusions The correct administration of hypertension can guide the correct medication, blood pressure control satisfaction rate increased significantly, reasonable diet, bad behavior to correct, reduce the incidence of cardiovascular events and improve the quality of life is of great significance.