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目的探讨炼油化工企业职工顽固型高血压疗养后血压反弹在时间上变化规律及及制定相关危险因素的预防对策。方法采用随机分层抽样方法选择某石化公司炼化企业2001—2006年患有顽固型高血压的保健疗养职工90人(其中1、2、3级高血压分别为30人)为观察组和某石化医院门诊治疗的顽固型高血压病人90人(其中1、2、3级高血压分别为30人)为对照组,2组的治疗药物相同,但观察组采取了保健疗措施,分析治疗后2组血压反弹情况及相关危险因素的预防。结果观察组病人治疗加保健疗养后与对照组病人治疗1个月后血压反弹率分别为16.67%和27.78%,2个月后血压反弹率分别为26.67%和37.78%,两者比较,差异均无统计学意义(P>0.05);观察组3个月后血压反弹率为56.67%,对照组3个月后血压反弹率为34.44%,两者比较差异有统计学意义(χ2=8.96,P<0.01)。结论某石化公司顽固型高血压保健疗养疗效显著,病人治疗后血压稳定时间较长,值得推广。
Objective To explore the regularity of blood pressure rebound after refractory hypertension in refineries and its preventive measures to develop relevant risk factors. Methods A random stratified sampling method was used to select 90 health-care workers with refractory hypertension in a petrochemical company from 2001 to 2006 (including 1, 2 and 3 hypertension) Outpatient treatment of petrochemical hospital stubborn hypertensive patients 90 (1,2,3 hypertension 1,2,3 were) as the control group, the two groups of the same treatment, but the observation group took the health care measures, after treatment analysis 2 cases of blood pressure rebound and the prevention of risk factors. Results In the observation group, the blood pressure rebound rates after treatment for 1 month and control group were 16.67% and 27.78%, respectively. After 2 months, the blood pressure rebound rates were 26.67% and 37.78%, respectively. The blood pressure rebound rate was 56.67% after 3 months in the observation group and 34.44% after 3 months in the control group, with significant difference between the two groups (χ2 = 8.96, P <0.01). Conclusion One petrochemical company has significant therapeutic effect on stubborn hypertension and long-term stable blood pressure after treatment, which is worth promoting.