摘要
目的：研究高血压社区规范化管理后血压控制状况及影响因素，为临床诊疗提供依据。方法选取社区规范化管理高血压患者120例为研究组，另选取同期无社区规范化管理高血压患者120例为对照组，比较两组血压控制情况，并分析其影响因素。结果两组管理前收缩压和舒张压差异无统计学意义（P 〉0.05），管理后研究组收缩压为（129．4±3．2）mmHg，舒张压（87．5±2．8）mmgHg，对照组收缩压为（138．3±10．1）mmHg，舒张压为（95．7±4．3）mmHg，与治疗前比较差异有统计学意义（t ＝9．478、9．074、8．278、8.687，均 P 〈0．05），两组间比较差异具有统计学意义（t ＝7．654、7．061，均 P 〈0．05）；Logistic 回归分析显示：年龄、体质量指数、肥胖、吸烟、血压级别、摄盐情况及甘油三酯是血压控制状况的影响因素（OR ＝20．564、0.995、0.746、1．092、0．749、1．153、0．854，均 P 〈0．05）。结论社区规范化管理能增强血压控制效果，年龄、体质量指数、肥胖、血压级别、吸烟等是影响因素。
Objective To study the blood pressure control and its influencing factors in community standardized management of hypertension patients,to provide basis for clinical diagnosis and treatment.Methods 120 hypertension patients with community standardized management were selected as study group,another 120 hypertension patients were selected as control group.The blood pressure control was compared between the two groups,and the influencing factors were analyzed.Results The systolic and diastolic blood pressur before treatment between the two groups had no statistically significant differences （all P 〉0.05）.The systolic blood pressure,diastolic blood pressure after admin-istration of the study group were （129.4 ±3.2）mmHg,（87.5 ±2.8）mmgHg,which in the control group were （138.3 ±10.1 ）mmHg,（95.7 ±4.3 ）mmHg,the differences were statistically significant compared with before treatment （t =9.478,9.074,8.278,8.687,all P 〈0.05）,the differences between the two groups were statistically significant （t =7.654,7.061,all P 〈0.05）.Logistic regression analysis showed that age,body mass index,obesity, smoking,blood pressure level,taste and triglyceride were the influencing factors of blood pressure control （OR =20.564,0.995,0.746,1.092,0.749,1.153,0.854,all P 〈0.05）.Conclusion Community standardized management can enhance the effect of blood pressure control,age,body mass index,obesity,blood pressure level,smoking and so on are the influencing factors.
作者
安志宏
许琳霞
An Zhihong Xu Linxia(Department of General Practice, General Hospital of Datong Coal Group Co. , Datong, Shanxi 037003, Chin)
出处
《中国基层医药》
CAS
2017年第5期655-658,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
高血压
社区卫生服务
血压
因素
Hypertension
Community Health Services
Blood pressure
Factor
