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本文按照世界卫生组织高血压诊断标准,采用流行病学前瞻性观察方法,随机选择两个相似人群,对年龄≥35岁居民5441人,进行连续三年高血压患者系统管理和对照组自然趋势对比分析.研究结果表明:高血压患病率,三年后对照组上升近5%(P<0.05),干预组基本保持稳定(P>0.05).血压均值变化,干预组收缩压、舒张压逐年降低,规律性降压药物治疗由31.4%提高到53.1%,高血压控制率达90.5%,干预人群总体血压水准低于对照人群.脑卒中发病率较对照组有降低趋势.本研究达到了世界卫生组织提出的高血压早期预防的管理目标.
According to WHO diagnostic criteria of hypertension, we use epidemiological prospective observation method to select two similar groups at random, and 5441 residents aged ≥35 years of age were enrolled in the systematic management of hypertensive patients for three consecutive years and compared with the natural tendency of the control group The results showed that the prevalence of hypertension increased by nearly 5% in the control group after three years (P <0.05), and remained stable in the intervention group (P> 0.05). The changes of mean blood pressure, systolic blood pressure and diastolic blood pressure Reduce the regular antihypertensive drug treatment from 31.4% to 53.1%, hypertension control rate of 90.5%, the intervention group overall blood pressure level is lower than the control group.Stroke incidence than the control group has a downward trend.This study reached the world WHO targets management of early prevention of hypertension.