玉环县农村社区高血压综合干预管理效果初探

目的了解玉环县农村社区综合干预管理措施对控制高血压的效果，为制定合理的卫生政策提供依据。方法通过面对面调查所有玉环农村社区中35周岁及以上的社区户籍居民125479人，确诊了37201名高血压患者。采用流行病学实验研究设计，对这些高血压患者进行了社区综合干预管理。在SPSS16．0中进行数据分析。结果在纳入玉环县高血压社区干预管理体系的36996名合格患者中，干预后平均收缩压和脉压略有升高，而平均舒张压和体指指数（bodymassindex，BMI）基本维持原有水平；血压治疗率提高了6．2％，控制率提高了1．3％，吸烟率降低了1．4％，饮酒率降低2．5％。结论玉环县社区高血压综合干预管理初步改善了高血压患者的血压控制状况。

Evaluation on the comprehensive intervention and management of hypertension in rural Yuhuan Communities

Objective To evaluate the effects of the community-based comprehensive intervention on hyperten- sion. Methods A cross-sectional study was carried out as a baseline study of Rural Yuhuan Health Population Cohort in all communities in Yuhuan County, Zhejiang Province, China. A total of 125 479 subjects aged 35 years oldor above par- ticipated in this study and 37 201 subjects were diagnosed as hypertensive with the comprehensive intervention and manage- ment on hypertension. SPSS 16.0 was used for statistical analysis. Results Among 37 201 hypertensive patients, 36 996 were eligible for this study. After the intervention, the averages of both their systolic blood pressure and pulse pressure were slightly higher than those before the intervention, while the averages of both their diastolic blood pressure and BMI were similar to those before the intervention. The treatment proportion and control proportion of hypertension were statistically in- creased by 6. 2% and 1.3%, respectively. The proportion of smoking and drinking alcohol were respectively decreased by I. 4% and 2. 5%, respectively. Conclusions The comprehensive intervention and management on hypertension improved the hypertensive conditions of patients during a short period in rural communities of Yuhuan County.