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[目的]研究心血管疾病患病风险警示干预对社区高血压患者的影响效果。[方法]对河北保定市区2008年管理的1344例高血压病人,采用10年内心肌梗死、中风发病与死亡预测工具对其进行预测,并将结果反馈给患者,针对每一名患者开具个体化的健康处方,随访1年后,观察患者血压控制及心血管疾病患病风险改变的情况。[结果]干预前药物依从性佳者为31.47%,干预后依从性佳者为76.12%;高血压控制达标率由干预前的18.08%变为干预后的38.10%(χ2=133.3,P﹤0.001),有显著提高;高血压危险分层干预后u=10.422,P﹤0.001;10年急性心血管事件预期病例干预后u=2.170,P﹤0.005,很高危、高危人数大幅下降。[结论]干预结果证明,以基层医疗机构为基础,采用10年内心肌梗死、中风发病与死亡预测工具对社区高血压患者实施警示干预,可以提高高血压患者用药依从性,有效地控制血压、降低心血管疾病发病率,是预防心血管急性事件发生和死亡的有效途径。
[Objective] To study the effect of cardiovascular disease risk warning intervention on community-based hypertensive patients. [Methods] A total of 1344 hypertensive patients managed in 2008 in Baoding, Hebei province were predicted by 10-year myocardial infarction, stroke onset and death prediction tools, and the results were fed back to patients for individualization After a year of follow-up, we observed the changes of blood pressure control and cardiovascular diseases. [Results] The pre-intervention drug compliance was 31.47%, and the compliance was 76.12% after intervention. The compliance rate of hypertension control changed from 18.08% before intervention to 38.10% after intervention (χ2 = 133.3, P <0.001) ), Significantly increased; hypertension risk stratification after intervention u = 10.422, P <0.001; 10 years of acute cardiovascular events expected after intervention in patients with u = 2.170, P <0.005, very high risk, the number of high-risk decline. [Conclusion] Intervention results show that warning interventions in community-based hypertensive patients with 10-year myocardial infarction, stroke onset and death prediction tools based on grass-roots medical institutions can improve drug compliance in hypertensive patients, effectively control blood pressure and reduce blood pressure The incidence of cardiovascular disease is an effective way to prevent the occurrence and death of acute cardiovascular events.