社区高血压分级管理方式及干预效果的探讨

目的　实施社区高血压分级管理 ,探讨社区干预措施对心脑血管病预防控制的效果。方法　随机抽取潍坊社区部分居委为干预组 ,对其中 2 2 31名高血压患者从 1998～ 2 0 0 0年进行分级管理 ,又随机抽取部分居委为对照组 ,比较两组脑卒中发病率、死亡率。结果　高血压患者的管理率达 89 5 3% ,控制率达 78 73% ;干预组脑卒中发病率为 198 73/ 10万 ,死亡率 77 2 8/ 10万 ;对照组脑卒中发病率为 2 2 2 2 3/ 10万 ,死亡率 80 81/ 10万。两组标化后脑卒中发病率、死亡率间差别均有显著性意义 (P <0 0 5 )。结论　干预组脑卒中的标准化发病率及死亡率均低于对照组 ,说明高血压分级管理的社区干预措施对心脑血管病的预防控制是有效的

Discussion on dividing- lever managing method of high blood pressure in community and its intervention effect

Objective To carry out the dividing-lever management of high blood pressure in community,and to explore the influence of intervention measures to prevention and control on heart and head blood tube disease.Methods By random sampling,absorbing partial residents of one community as the interfering group,applying dividing-lever management to 2,331 HBP patients from 1998 to 2000,meanwhile,absorbing other partial residents as the comparing group to compare the standard disease and death percentage of stroke of the two groups.Results The managing percentage of HBP was 89 53%,the controlling percentage 78 73%,in interfering group the percentage of stroke patients was 198 73/100,000.Conclusion The standard disease and death percentage of stroke in interfering group is lower than those in comparing group,so that is to say the interfering measurement to dividing-lever management of high blood pressure in community is effective to prevention and control of heart and head blood tube disease.