目的探讨在沙井街道高血压患者中实施社区规范化管理对其血压控制的影响并分析其相关的影响因素。方法选取2015年3—12月深圳市沙井街道高血压患者300例,对所有患者实施社区规范化管理,分析管理1年后患者的血压控制效果。结果不同性别高血压患者管理前后的舒张压和收缩压控制情况相比,差异无统计学意义(P>0.05)。经社区规范化管理后,高血压患者的规律服药率(72.67%)与高血压知识合格率(34.67%)较管理前明显上升(P<0.05),高血压患者的舒张压、收缩压水平较管理前明显降低(P<0.05)。年龄>65岁、吸烟、喝酒、高脂饮食、高盐饮食、家族疾病史、不规律用药、缺乏运动是导致高血压患者血压控制效果不良的单因素(P<0.05);对血压控制效果的多因素分析,家族疾病史、不规律用药是导致患者血压控制效果不佳的独立影响因素(P<0.05)。结论社区规范化管理的应用,可以促进高血压患者血压水平更好的控制。 Objective To investigate the impact of community-based management on blood pressure control in hypertensive patients in manhole and to analyze the related factors. Methods From March to December 2015, 300 hypertensive patients in Shajing Street, Shenzhen were selected to carry out community standardized management for all patients and to analyze and control their blood pressure control effect after one year. Results There was no significant difference in diastolic blood pressure and systolic blood pressure before and after management in different gender-related hypertension patients (P> 0.05). After community-based management, the regular medication rate (72.67%) and hypertension knowledge pass rate (34.67%) were significantly higher in hypertensives than those before management (P <0.05). The diastolic blood pressure and systolic blood pressure Before significantly reduced (P <0.05). The age> 65 years old, smoking, drinking, high-fat diet, high-salt diet, family history of illness, irregular medication, lack of exercise is the single factor of hypertension control in patients with poor performance (P <0.05) Multivariate analysis, history of family history, and irregular medication were independent influencing factors for poor blood pressure control (P <0.05). Conclusion The application of community standardized management can promote better control of blood pressure in hypertensive patients.