【摘要】 目的构建适用于加强社区高血压病重点人员管理的"五色"分类标准,以提高慢性疾病健康管理效率。方法以死亡风险为依据,构建高血压病患者健康管理的"五色"分类标准。通过比较高血压病合并不同慢性疾病组合的死亡率,确定不同等级的风险因素和人群风险等级。结果根据死亡率的高低和不同疾病组合人群的例数,采用风险因素叠加的方式,将社区高血压病人群分为紫色、红色、橙色、黄色、绿色共5个风险等级,其对应的人群死亡率分别为16.92%、14.77%、10.33%、4.15%、1.53%,其在高血压病患者中的人群构成比分别为0.62%、0.73%、2.02%、21.81%和74.83%。结论 "五色"分类标准操作简便易行,能实现风险管理的等级性和人群规模的可控性,便于在社区内实施。更多还原

【Abstract】 Objective To establish a " five-color" classification standard for enhanced management of community key people with hypertension in order to improve the efficiency of health management for chronic disease. Methods Based on the risk of death,a " five-color" classification standard for health management of patients with hypertension was constructed. Through the comparisons of the mortality between hypertension patients complicated with different chronic diseases,the different levels of risk factors and population risk ranks were determined. Results According to the level of mortality and the number of cases with different disease combinations,the community hypertension patients were divided into five risk levels on the basis of risk factors superposition,including Purple,Red,Orange,Yellow and Green,and the corresponding mortality rates were 16. 92%,14. 77%,10. 33%,4. 15%and 1. 53% respectively. The proportions of hypertension patients matched with " five-color" classification standard in the population were 0. 62%,0. 73%,2. 02%,21. 81% and 74. 83% respectively.Conclusion The " five-color" classification standard is feasible and simple in operation,which can realize the hierarchy of risk management and the controllability of population size.更多还原