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目的实施社区医生对高血压病管理的研究和疗效观察,改进治疗和管理方法 ,探讨容易发生心脑血管意外的因素。方法对150例社区高血压患者由社区医生进行分级和危险因素分层,建立个人健康档案,开展健康教育,进行心理干预,动态管理。结果 150例高血压患者中121例血压控制达标,达标率82%;平均收缩压下降11.24mmHg(1mmHg=0.133kPa),平均舒张压下降6.38mmHg,经统计学分析差异有统计学意义(P<0.05)。吸烟、大量饮酒、少体力活动、高盐、高脂饮食的比例明显下降。结论社区医生在社区管理控制社区高血压患者中具有简单、方便、低成本、高效率的优势。健康教育是提高其生活质量,预防心脑血管事件发生的有效措施之一,符合了我国“预防为主”的国策,达到发展社区医疗服务,充实社区防治高血压病的内涵的目的 ,为社区医生今后在高血压病的进一步防治研究及提高患者的生活质量做好准备。
Objective To implement community doctors’ research on the management of hypertension and its curative effect, to improve the treatment and management methods and to explore the factors that may lead to cardiovascular and cerebrovascular accidents. Methods A total of 150 community hypertension patients were stratified by community doctors and risk factors were stratified. Personal health records were established, health education was conducted, and psychological intervention and dynamic management were conducted. Results The blood pressure of 121 hypertensive patients reached the standard of 82%. The average systolic blood pressure decreased by 11.24mmHg (1mmHg = 0.133kPa) and the average diastolic blood pressure decreased by 6.38mmHg. The difference was statistically significant (P < 0.05). Smoking, heavy drinking, less physical activity, high salt, high fat diet decreased significantly. Conclusion Community doctors have the advantages of simple, convenient, low cost and high efficiency in community management and control of community-based hypertension. Health education is one of the effective measures to improve the quality of life and prevent the occurrence of cardiovascular and cerebrovascular events. It is in line with the national policy of “prevention as the mainstay” in our country, to achieve the goal of developing community medical services and enriching the connotation of community prevention and treatment of hypertension. Prepare community doctors for further prevention and treatment of hypertension in the future and improvement of patients’ quality of life.