【摘要】 目的 研究互联网+医防融合模式对社区老年高血压患者的疗效。方法 回顾性分析202例社区老年高血压患者的临床资料,采用随机数字表法分为对照组与观察组,各101例。对照组采用常规管理干预,观察组在对照组基础上采用互联网+医防融合模式干预。比较两组干预前后的生活方式、体质量指数(BMI)、血压、血脂、血糖、高血压相关知识知晓情况、血压控制率。结果 干预后,观察组吸烟占比39.60%、饮酒占比41.58%、缺乏身体运动占比38.61%低于对照组的59.40%、60.40%、59.40%,差异有统计学意义(P<0.05)；两组BMI比较,差异无统计学意义(P>0.05)。干预后,观察组的收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FBG)水平分别为(129.53±9.08)mm Hg(1 mm Hg=0.133 kPa)、(85.26±5.03)mm Hg、(5.46±0.71)mmol/L、(1.63±0.20)mmol/L、(2.69±0.38)mmol/L、(7.01±0.73)mmol/L,均低于对照组的(138.32±10.11)mm Hg、(90.27±6.01)mm Hg、(6.05±0.82)mmol/L、(2.12±0.30)mmol/L、(3.07±0.40)mmol/L、(8.02±0.89)mmol/L,差异有统计学意义(P<0.05)。干预后,观察组的高血压相关知识知晓评分(69.87±6.28)分、合格率87.13%均高于对照组的(61.45±6.01)分、67.33%,差异有统计学意义(P<0.05)。干预后,观察组的血压控制率为69.31%,高于对照组的44.55%,差异有统计学意义(P<0.05)。结论 互联网+医防融合模式在社区老年高血压中可改善患者血压、血脂、血糖水平,有效控制患者血压,值得在临床推广。更多还原

【Abstract】 Objective To study the efficacy of Internet combined with medical-prevention integration model on elderly hypertension patients in the community. Methods A total of 202 cases of hypertension patients in the community were divided into control group and observation group by random numerical table, with 101 cases in each group. The control group received conventional management intervention, while the observation group received Internet and medical-prevention integration model intervention on the basis of the control group.The lifestyle, body mass index(BMI), blood pressure, blood lipids, blood glucose, hypertension-related knowledge awareness, and blood pressure control rate before and after the intervention were compared between the two groups.Results After the intervention, the proportion of smoking in the observation group was 39.60%, the proportion of alcohol-drinking was 41.58%, and the proportion of lack of physical exercise was 38.61%, which werelower than 59.40%, 60.40%, and 59.40% of the control group, and the differences were statistically significant(P<0.05).There was no statistically significant difference in BMI between the two groups(P>0.05). After the intervention,the levels of systolic blood pressure(SBP), diastolic blood pressure(DBP), total cholesterol(TC), triacylglycerol(TG), low-density lipoprotein cholesterol(LDL-C), and fasting blood glucose(FBG) in the observation group were(129.53±9.08) mm Hg(1 mm Hg=0.133 kPa),(85.26±5.03) mm Hg,(5.46±0.71) mmol/L,(1.63±0.20) mmol/L,(2.69±0.38) mmol/L, and(7.01±0.73) mmol/L, which were lower than(138.32±10.11) mm Hg,(90.27±6.01) mm Hg,(6.05±0.82) mmol/L,(2.12±0.30) mmol/L,(3.07±0.40) mmol/L, and(8.02±0.89) mmol/L in the control group, and the differences were statistically significant(P<0.05). After intervention, the hypertensionrelated knowledge awareness score(69.87±6.28) points and the pass rate 87.13% in the observation group were higher than(61.45±6.01) and 67.33% in the control group, and the difference was statistically significant(P<0.05).After the intervention, the blood pressure control rate of the observation group was 69.31%, which was higher than 44.55% of the control group, and the difference was statistically significant(P<0.05). Conclusion The Internet combined with medical prevention integration model can improve the blood pressure, blood lipid and blood glucose levels of elderly patients with hypertension in community, and effectively control the blood pressure of patients,which is worthy of clinical promotion.更多还原