【摘要】 [目的]探索适合社区高血压防治的有效方法,以便控制高血压的危害。[方法]2001~2004年在常熟市部分农村社区对高血压患者进行综合干预,对中期干预效果进行评估。[结果]干预前调查高血压患者570例,血压为(152·6±19·8)/(87·1±12·0)mmHg,干预后调查患者540例,血压为(137·6±13·9)/(82·7±9·2)mmHg(P<0·01);高血压患者高血压控制率干预前为12·28%,干预后提高到50·37%(P<0·01)。高血压患者的吸烟率、饮酒率与饮食偏咸者所占比例,分别由干预前的31·58%、16·49%、35·96%下降到干预后的15·74%、10·37%、29·44%,规律服药率由39·30%升至56·48%,高血压相关知识知晓率明显提高(P<0·01或P<0·05)。[结论]以社区为基础的高血压综合防治方法是有效的。更多还原

【Abstract】 [Objective]To study the effective method of prevention and treatment for hypertension in communities,in order to control the harms of hypertensive.[Methods]From 2001 to 2004,all hypertensive patients in partial rural communities in Changshu city were selected to be intervened synthetically,then medium-term intervention effectiveness was evaluated.[Results]Before intervention,the average levels of SBP and DBP of 570 hypertensive patients were (152.6±19.8)/(87.1±12.0) mmHg,after intervention,the average levels of SBP and DBP of 540 hypertensive patients were (137.6±13.9)/(82.7±9.2) mmHg.Effectively hypertensive control rate was increased from 12.28% to 50.37%.The rates of smoking,drinking and over salted diet were decreased respectively from 31.58%,16.49% and 35.96% to 15.74%,10.37% and 29.44%.The rate of taking drugs regularly was increased from 39.30% to 56.48%.The known rate of knowledge about how to prevent and control hypertension among target population increased remarkably.[Conclusion]The method of community-based comprehensive prevention and control for hypertension was effective.更多还原