荔城社区高血压危险分层及综合防治策略研究

目的对荔城社区高血压患者进行综合防治干预，对综合防御措施的效果进行探讨。方法收集荔城社区364例高血压患者。结合血压水平对患者进行危险分层，临床采用综合防治策略进行干预，包括健康教育、行为干预、定期随访等。对干预前后患者血压、胆固醇指标、高血压知识水平和行为改变，以及危险分层人数的变化进行对比。结果经18个月干预，患者血压水平显著性降低，收缩压和舒张压分别为（127．93±13．76）、（70．24±9．67）mmHg，显著低于干预前的（157．54±18．34）、（85．54±12．05）mmHg，差异有统计学意义（P〈0．05）；干预后三酰甘油、总胆固醇水平分别为（1．49±0．29）、（4．83±0．69）mmol／L，显著低于干预前的（2．43±0．29）、（6．33±0．67）mmol／L，差异有统计学意义（P〈0．05）。干预后患者高血压知识水平、相关行为改变都明显好于干预前，差异有统计学意义（P〈0．05）；干预后极高危险层和高危险层患者比例显著降低，低危险层和中危险层患者比例显著增大，差异有统计学意义（P〈0．05）。结论以社区综合防治对社区高血压患者进行干预能有效地降低患者血压、胆固醇水平以及提升患者高血压知识和改善患者行为，是一种切实可行的综合防治措施。

Study on the hypertension risk stratification and comprehensive preven- tion strategy on hypertension patients in Licheng community

Objective To use comprehensive prevention methods to intervene the hypertension patients in Licheng community and investigate the efficacy of the prevention methods. Methods 364 cases hypertension patients in Licheng community were selected. Risk stratification of patients were divided, based on blood pressure. Hypertension patients were intervened with comprehensive prevention methods, including health education, behavioral interventions, and regu- lar follow-up. After treatment, blood pressure, cholesterol levels, hypertension knowledge, behavior change and changes of each risk stratification people were selected and compared. Results After 18 months＂ intervention, blood pressures of patients decreased markedly, the systolic blood pressures and diastolic blood pressures were （127.93±13.76）, （70.24± 9.67） mm Hg, which were significantly lower than those before intervention （157.54±18.34）, （85.54±12.05） mm Hg], the differences were statistically significant （P 〈 0.05）. After intervention triglyceride and total cholesterol level were （1.49± 0.29）, （4.83±0.69） mmol/L, which were significantly lower than those before intervention （2.43±0.29）, （6.33±0.67） mmol/L], the differences were statistically significant （P 〈 0.05）. Hypertension knowledge and behavior change after intervention were significantly higher than those before intervention, the differences were statistically significant （P 〈 0.05）. People rate of extremely dangerous layer and high dangerous layer after intervention were significantly lower and people rate of low dangerous layer and dangerous layer were significantly higher than those before intervention, the differences were statistically significant （P 〈 0.05）. Conclusion Comprehensive prevention methods can effectively reduce blood pres- sure, cholesterol levels, and improve hypertension knowledge, behavior change of hypertension patients, which is a fea- sible comprehensive prevention method.