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[目的]了解社区综合性干预对高血压防治的效果。[方法]2009年7月至2010年6月,在许昌市东城区半截河社区,将196例高血压患者随机分成2组,综合干预组102例,对照组94例,对照组仅给予基础降压药物治疗,综合性干预组实施综合干预措施,对2组进行观察比较。[结果]综合干预组102例,对照组94例。遵医嘱服药率,干预组为94.12%,对照组为52.13%(P<0.01)。高血压知识与生活行为正确率,干预前2组、对照组干预前后的差异均无统计学意义(P>0.05);干预后干预组均高于对照组(P<0.01)。高血压危险因素知晓率、有效控制体重、低盐低脂饮食、限酒或不饮酒、适当体育运动的正确率,干预组干预后均高于干预前,干预后干预组均高于对照组(P<0.01或<0.05)。干预前,2组收缩压、舒张压的差异均无统计学意义(P>0.05);干预后,收缩压、舒张压对照组均高于干预组(P<0.01),2组的收缩压、舒张压均较干预前有所下降(P<0.01)。[结论]城市社区对高血压患者进行综合性干预有一定效果。
[Objective] To understand the effect of community comprehensive intervention on prevention and treatment of hypertension. [Methods] From July 2009 to June 2010, 196 patients with hypertension were randomly divided into two groups in the community of Bancaihe, Dongcheng District, Xuchang City. 102 patients in the comprehensive intervention group and 94 patients in the control group were given basic treatment only Pressure drug treatment, comprehensive intervention group to implement comprehensive interventions, the two groups were observed and compared. [Results] 102 cases in the comprehensive intervention group and 94 cases in the control group. Prescribed medication rate, the intervention group was 94.12%, control group was 52.13% (P <0.01). There was no significant difference between the two groups before intervention and before and after intervention (P> 0.05). The intervention group after intervention was higher than that of the control group (P <0.01). The awareness rate of hypertension risk factors, weight control, low-salt and low-fat diet, alcohol restriction or non-alcohol drinking, the correct rate of proper physical exercise were higher in the intervention group than those in the intervention group and before the intervention group P <0.01 or <0.05). Before intervention, there was no significant difference in systolic blood pressure and diastolic blood pressure between the two groups (P> 0.05); after the intervention, systolic blood pressure and diastolic blood pressure were higher in the control group than in the intervention group (P <0.01) Diastolic blood pressure was lower than before intervention (P <0.01). [Conclusion] The urban community has a certain effect on the comprehensive intervention of hypertension patients.