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中西医结合治疗联合个性化健康管理对社区高血压患者血压控制及行为模式的影响(1)
http://www.100md.com 2015年5月15日 中国当代医药2015年第14期
     [摘要] 目的 探讨中西医结合治疗联合个性化健康管理对社区高血压患者血压控制及行为模式的影响。 方法 选取本社区2011年6月~2014年5月的120例高血压患者,以抽签法将其随机分为观察组与对照组,每组60例。对照组给予中西医结合治疗,观察组在对照组基础上给予个性化健康管理。比较两组患者的血压控制情况及行为模式改善情况。 结果 观察组的血压控制有效率为86.67%,显著高于对照组的56.67%(P<0.05);观察组的知识知晓、健康饮食、遵嘱用药及合理运动的达标率分别为88.3%、91.7%、91.7%、90.0%,显著高于对照组的58.3%、71.7%、76.7%、51.7%(P<0.05)。 结论 中西医结合治疗联合个性化健康管理可提高高血压患者血压控制效果,改善其行为模式,具有较高的临床应用价值。

    [关键词] 中西医结合;个性化健康管理;社区高血压;行为模式

    [中图分类号] R544.1 [文献标识码] A [文章编号] 1674-4721(2015)05(b)-0151-03

    Influence of treatment of integrated traditional Chinese and western medicine combined with individualized health management on blood pressure control and behavior pattern in patients with hypertension in community

    YANG Wei-dong LI Yang-chun RONG Jian-qing

    Heshuikou Community Health Service Center,People′s Hospital in Guangming New District of Shenzhen City,Shenzhen 518106,China

    [Abstract] Objective To study the influences of traditional Chinese and western medicine combined with individualized health management on blood pressure control and behavior pattern in patients with hypertension in community . Methods 120 patients with hypertension in our community from June 2011 to May 2014 were selected and randomly divided into observation group (n=60) and control group (n=60) by drawing lots method.Control group was treated with integrated traditional Chinese and western medicine,while observation group was given individualized health management on the basis of control group.Blood pressure control and behavior pattern improvement in patients between two groups was compared respectively. Results The effective rate of blood pressure control in observation group (86.67%) was significantly higher than that of control group (56.67%) (P<0.05).Qualified rate of knowledge awareness,healthy eating,medication complying with doctor′s instruction,reasonable sport in observation group (88.3%,91.7%,91.7% and 90.0% respectively) was significantly higher than that of control group (58.3%,71.7%,76.7%,51.7% respectively) respectively (P<0.05). Conclusion Treatment of integrated traditional Chinese and western medicine combined with individualized health management can improve effect of blood pressure control and better behavior pattern in patients with hypertension.It has higher clinical application value.

    [Key words] Integrated traditional Chinese and western medicine;Individualized healthy management; Community hypertension;Behavior pattern

    我国目前高血压患病率约为18.8%,高血压患者已超过1.6亿[1],与其高发病率和较广的患者群体相比,患者自身对高血压的知晓率低,控制能力较差。高血压是引发心血管疾病的重要因素,可能导致冠心病、脑卒中、心力衰竭等高致死、致残率的疾病,对我国社区群众的生命造成严重威胁[2],因此,寻求正确的治疗方法及管理措施成为临床研究的重点。本研究探讨中西医结合治疗联合个性化健康管理对社区高血压患者血压控制及行为模式的影响,现报道如下。 (杨卫东 李阳春 容建清)
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