探讨综合防治健康管理模式对社区高血压患者治疗的效果

目的探讨综合防治健康管理模式对社区高血压患者治疗的效果。方法对苏州市二个社区的居民进行个人健康信息调查和健康检查，筛出高血压患者及其危险因素。将高血压患者随机分成两组，各63例。一组为管理组，即采用综合防治健康管理模式，行饮食和运动量化管理，并达到有效运动和能量平衡，在采用上述于预措施的同时合理用药；另一组为对照，采用常规治疗。管理一年后，对比分析两组的观察指标，刚SPSS11．5统计软件包进行分析，评价效果。结果综合防治健康管理组有效地控制了高m压及其他危险冈素，收缩压均值为（130．06±17．51）mmHg，舒张压均值为（81．81±8．75）nqmHg，对照组收缩压均值为（141．87±22．93）mmHg；舒张压均值为（86．00±11．47）mmHg（1mmHg=0．133kPa），P〈0．05；管理组降高血压的相关药品费用降低。而对照组血压未有效控制，其他多项危险因素朱见明显改善，药费未见减少。结论综合防治健康管理模式对高血压的预防控制的效果明显优于以药物为主的一般治疗模式。

Effect of community general health management on outcome of hypertension

Objective To investigate the effect of health management on hypertension control. Methods Patients with high blood pressure and hypertensive risk factors were selected from two communities in Suzhou City of Jiangsu Province. The subjects were then randomly assigned to 2 groups （63 in each group）. One group received comprehensive health management for the prevention and treatment of hypertension,and the other group received traditional anti-hypertensive treatment. Systolic blood pressure （SBP） , diastolic blood pressure （DBP）, and medicine cost were compared at 1 year. Results In the health management group, blood pressure and its related risk factors were effectively controlled, and the mean SBP or DBP was （ 130. 06 ±1 7. 51 ）mm Hg or （ 81.81 ± 8. 75 ） mm Hg （ 1 mm Hg = 0. 133 kPa ）, respectively. The cost of anti-hypertensive medicine of the health management group was largely decreased. Conclusion General health management shows a better anti-hypertensive effect than traditional therapy.