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目的:观察适合军队干休所社区科学、规范及实用的高血压管理方案,有效控制血压,以减少心脑血管疾病的发生率。方法:采用以血压达标值为管理目标,以《中国高血压防治指南》为指导的社区高血压患者管理方案,对军队离退休老干部高血压病患者进行随访。结果:本组人群高血压患病率较高(68.2%),同时有多种心血管危险因素共存,靶器官损害严重。通过4年综合干预高血压患者的治疗率和血压控制率显著上升(P<0.01)。结论:对高血压患者进行有效社区管理方式,可显著提高血压控制达标率,是一种有效的管理模式。
OBJECTIVE: To observe a scientific, standardized and practical hypertensive management program suitable for the army dry-rest community to effectively control blood pressure so as to reduce the incidence of cardiovascular and cerebrovascular diseases. Methods: With the target of blood pressure standard as the management target and the guideline of prevention and treatment of hypertension in China as the guideline of community hypertension management program, the elders of the retired veteran cadres in the army were followed up. Results: The prevalence of hypertension in this population was high (68.2%). At the same time, there were many cardiovascular risk factors coexisting and the target organs were severely damaged. After 4 years of comprehensive intervention in patients with hypertension, the treatment rate and blood pressure control rate increased significantly (P <0.01). Conclusion: Effective community management of hypertension patients can significantly improve the compliance rate of blood pressure control, which is an effective management mode.