三级医院联合社区卫生中心进行高血压干预效果分析

选择在上海市宝山区6家社区卫生中心就诊的519例高血压患者，采取以三级医院联合多家社区卫生服务中心进行高血压综合干预，共462例完成1年随访。结果显示，十预后患者较十预前对高血压危害的知晓率明显提高（83．1％比56．1％），不良生活方式改善；血压控制达标率明显提高（89．6％比56．1％）；相关危险因素控制率均提高；高血压患者的颈一股动脉脉搏波速度、颈一桡动脉脉搏波速度降低；均P〈0．01或0．05。提示，以大医院为核心，联合社区卫生中心进行高血压综合干预是控制高血压病的良好方式。

Hypertension intervention program organized by tertiary hospitals with community health centers

Five hundred and nineteen patients with essential hypertension from 6 community health centers in Baoshan Distract of Shanghai were enrolled in the program, all patients received direct or indirect comprehensive interventions. These interventions were conducted by doctors from tertiary hospitals and community health service centers. Among these hypeltfietic, 462 patients were followed-up for 1 yeas＇. After interventions, the awareness rate of hypertension was significantly increased, unhealthy life styles were changed; blood pressure control rate and risk factors control rate were also increased; carotid-femoral artery pulse wave velocity and carotid-radial artery pulse wave velocity were decreased （P 〈 0. 01 or P 〈 0. 05 ）. The results indicate that comprehensive interventions organized by tertiary hospitals with community health centers are effective in management of hypertension.