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目的研究社区综合干预治疗高血压的疗效。方法选取2012年于绍兴市越城区北海街道社区卫生服务中心登记治疗的200例高血压患者作为研究对象,将患者两两配对后随机分入观察组和对照组,每组100例。观察组患者采用定期体检并调整治疗药物剂量、组织健康教育等社区综合干预疗法进行治疗,对照组患者仅在首次就诊并开药后由患者自行服药治疗。观察比较两组患者治疗1年后的血压控制情况、高血压并发症情况、治疗依从性情况。结果观察组患者均顺利完成研究,对照组患者中1例死于脑出血,2例失访。观察组患者收缩压、舒张压低于对照组,差异有统计学意义(P<0.01)。观察组患者血压控制率为76.00%,高于对照组的28.00%,差异有统计学意义(P<0.01)。观察组患者并发症发生率为1.00%,低于对照组的8.00%,差异有统计学意义(P<0.05)。观察组患者治疗依从性优于对照组,差异有统计学意义(P<0.01)。结论采用社区综合干预治疗高血压可以显著提高患者的降压水平和血压控制率,降低并发症发生率并改善患者治疗依从性。
Objective To study the effect of comprehensive community intervention on hypertension. Methods A total of 200 hypertensive patients enrolled in Community Health Service Center, Beihai Street, Yuecheng District, Shaoxing City in 2012 were enrolled in the study. All patients were randomized into observation group and control group after pairwise matching, with 100 cases in each group. The patients in the observation group were treated with regular medical examination and adjustment of the dose of the therapeutic drugs, and the community comprehensive intervention therapy such as health education. The patients in the control group were treated by the patients themselves only after the first visit and after prescribing. Observed and compared two groups of patients after treatment for 1 year of blood pressure control, hypertension complications, treatment compliance. Results All patients in the observation group completed the study successfully. One patient in the control group died of intracerebral hemorrhage and two patients were lost to follow-up. Systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group, with significant difference (P <0.01). The observation group patients with blood pressure control rate of 76.00%, higher than the control group of 28.00%, the difference was statistically significant (P <0.01). The incidence of complication in the observation group was 1.00%, which was lower than that in the control group (8.00%), the difference was statistically significant (P <0.05). Patients in the observation group had better compliance than those in the control group, with significant difference (P <0.01). Conclusion Comprehensive treatment of hypertension with community intervention can significantly reduce the level of blood pressure and blood pressure control in patients, reduce the incidence of complications and improve patient compliance.