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目的探讨综合干预对高血压病的治疗作用及对其后的影响。方法对高血压病患者进行定点、定点监测,同时进行家庭随访,综合干预,并与对照组进行前瞻性对照研究。结果入组前患者收缩压(157.5±9.0)mmHg(1mmHg=0.133kPa)、舒张压(95.0±16.5)mmHg,3年后收缩压(130.6±11.0)mmHg、舒张压(80.0±12.0)mmHg,与对照组比较,P<0.001;两组之间的降压幅度比较,P<0.05。患者的生活习惯有了改善,生活质量明显提高,并发症、致残率和病死率是对照组的20%。两组90项症状比较,干预组总分下降具有显著意义。结论高血压病严重威胁健康,社区家庭干预和健康宣教疗效肯定;公众教育、专业人员教育和高血压病患者教育还任重而道远。
Objective To explore the therapeutic effect of comprehensive intervention on hypertension and its subsequent impact. Methods Hypertension patients were sentinelly and site-directedly monitored. At the same time, family follow-up and comprehensive intervention were conducted, and a prospective controlled study was conducted with the control group. Results Before treatment, the systolic blood pressure (130.5 ± 9.0) mmHg, diastolic blood pressure (80.0 ± 12.0) mmHg, diastolic blood pressure (95.0 ± 16.5) Compared with the control group, P <0.001; between the two groups the rate of decrease in blood pressure, P <0.05. The patient’s lifestyle has improved, quality of life improved significantly, complications, disability and mortality was 20% of the control group. Comparing the two groups of 90 symptoms, the total score of the intervention group decreased significantly. Conclusions Hypertension is a serious threat to health, community family intervention and health education mission are positive. There is still a long way to go for public education, professional education and education of patients with hypertension.