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目的评价社区管理对高血压病人的干预效果,为政府制定合理的卫生政策提供依据。方法对2007—2009年昌平区某社区的常住居民进行本底调查及周期性健康检查中的高血压病人及其高危人群117例进行系统管理,管理内容包括:建卡、定期测血压、口服降压药、健康教育指导、不良生活习惯及不良健康行为干预。结果对3年的体检结果进行综合分析,除舒张压(HBP)没有明显变化外,收缩压(SBP)、空腹血糖(FBS)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C),血肌酐(CR)不同程度的下降。将2008、2009年的体检数据分别同2007年作配对t检验分析,以观察干预效果,结果显示SBP、TG、TC、LDL-C、高密度脂蛋白胆固醇(HDL-C)、CR项目均有不同程度改善。结论社区系统对高血压及其高危人群管理方法和干预措施是有效的,随着时间增长,整体情况逐步改善,政府须加强对社区的系统管理。
Objective To evaluate the intervention effect of community management on hypertensive patients and provide basis for the government to formulate a reasonable health policy. Methods A total of 117 hypertensive patients and their high risk population in a community in Changping district from 2007 to 2009 were systematically managed. The management included: card building, regular blood pressure measurement, oral administration Medication, health education guidance, bad habits and bad health behavior intervention. Results The results of three-year physical examination showed that SBP, FBS, TG, TG, LDL-C, Protein cholesterol (LDL-C), serum creatinine (CR) decreased to varying degrees. The 2008 and 2009 physical examination data were respectively matched with the 2007 t-test to observe the effect of intervention. The results showed that SBP, TG, TC, LDL-C, HDL-C and CR had Different degrees of improvement. Conclusion The community-based system is effective for managing hypertension and its high risk population management methods and interventions. As time goes by, the overall situation is gradually improving and the government should step up its systematic management of the community.