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目的 对社区综合防治高血压效果进行评价。方法 2 0 0 2年 2月 1日～ 2 0 0 2年 3月 1日对月坛社区卫生服务中心所管理的 5 2 0名高血压病人和复兴医院三里河门诊就诊的非本社区管理的高血压病人进行血压测量与问卷调查。结果 社区高血压病人血压控制情况与门诊病人间差别有显著性意义 (P <0 0 5 ) ,医疗费用与社区病人间差别有显著性意义 (P <0 0 5 )。结论 本着以“居民健康需求为导向 ,实施防、治、保、康、教一体化”的原则 ,对高血压社区人群施行社区综合管理可以改善血压控制水平 ,节约医疗费用。但是必须以“中国高血压防治指南”为依据 ,尽快建立社区与专科医院之间的双向转诊制度 ,使社区高血压防治更加规范
Objective To evaluate the comprehensive prevention and treatment of hypertension in the community. METHODS: From February 1, 2002 to March 1, 2000, the hospital management of 520 hypertensive patients managed by Yuetan Community Health Service Center and Sanlitun Clinic of Fuxing Hospital was conducted. Blood pressure measurements and questionnaires were performed on hypertensive patients. Results There was a significant difference between the control of blood pressure in the hypertensive patients and the outpatients in the community (P < 0 05), and the difference between the medical expenses and the community patients was significant (P <0 05). Conclusion In line with the principle of “integration of prevention, treatment, protection, health, and education” with the principle of “health needs of residents,” implementation of integrated community management in hypertensive community groups can improve blood pressure control and save medical costs. However, it is necessary to establish a two-way referral system between community and specialist hospitals based on the “Guideline for the prevention and treatment of hypertension in China” so as to standardize the prevention and treatment of hypertension in the community.