【摘要】 [目的 ]　了解上海市心脑血管病防治点社区高血压分级管理现状 ,探讨社区控制高血压的有效干预措施。　 [方法 ]　采用《上海市心脑血管病防治点工作手册》的方法及标准 ,对 2 0 0 2年上海市 3 4个心脑血管病防治点社区登记的“上海市社区高血压患者随访表”个案记录及社区 3 5岁以上高血压患者分级管理工作年报表进行统计分析。　 [结果 ]　 2 0 0 2年上海市 3 4个心脑血管病防治点社区高血压分级管理 ,共覆盖 10 65 90 5社区人口 ,登记管理 3 5岁以上高血压患者 415 88人 ,规范管理 3 7969人 ,管理率 91.3 0 %,控制率 88.0 8%。发现高血压新病例 2 62 1例 ,一级医疗机构 3 5岁以上首诊测量血压是发现高血压新病例的最主要途径 ,占 2 9.61%。　 [结论 ]　上海市心脑血管病防治点社区高血压分级管理的管理率和控制率已分别达到《上海市心脑血管病防治点工作手册》规定的标准 ,社区高血压分级管理是可行和有效的管理模式 ,值得推行更多还原

【Abstract】 [Objective] To study the current situation of community based management of hypertension in Shanghai, to provide scientific support for establishing a comprehensive intervention measurement for control and prevention of hypertension in communities. [Methods] Using the standard and method quated in “Working manual for control and prevention of cardio and cerebrovascular diseases in trial communities in Shanghai”,data on the current management condition of hypertensive patients aged 35 years and over were analyzed. [Results] In 2002, community based management of hypertension was conducted in each trial community of all districts and counties in Shanghai, covered by 34 trial communities with 1,065,905 community population. 41,588 hypertensive patients aged 35 years and over were registered for management. Among them, 37,969 hypertensive patients were managed regularly, the management rate was 91.30%, the control rate was 88.08%. 2,621 new hypertensive patients were found out through different ways. Among them, measuring the blood pressure of first visit patients above 35 years old was the main way in finding out new hypertensive patients, accounted for 29.61%. [Conclusion] It was demonstrated that the management rate and the control rate for community based management of hypertension in trial communities met the requirement of the manual respectively, and that community based management of hypertension is an effective management model.更多还原