Appropriate technology for the hypertension management in the primary hospitals:an multi-center research

Feng Rui; Lei Jiayan

doi:10.13406/j.cnki.cyxb.000923

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Appropriate technology for the hypertension management in the primary hospitals:an multi-center research

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- Appropriate technology for the hypertension management in the primary hospitals:an multi-center research
- Journal of Chongqing Medical University Vol. 41, Issue 4, Pages: 347-350(2016)
- 作者机构：
  
  1. 重庆医科大学附属第一医院心血管内科
  2. 重庆医科大学附属第一医院人事处
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.000923
  CLC： R544.1
- Published：2016，
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[1]冯瑞,雷家俨.向基层医院推广高血压管理适宜技术的多中心研究[J].重庆医科大学学报,2016,41(04):347-350.

Feng Rui, Lei Jiayan. Appropriate technology for the hypertension management in the primary hospitals:an multi-center research. [J]. Journal of Chongqing Medical University 41(4):347-350(2016)
[1]冯瑞,雷家俨.向基层医院推广高血压管理适宜技术的多中心研究[J].重庆医科大学学报,2016,41(04):347-350. DOI： 10.13406/j.cnki.cyxb.000923.

Feng Rui, Lei Jiayan. Appropriate technology for the hypertension management in the primary hospitals:an multi-center research. [J]. Journal of Chongqing Medical University 41(4):347-350(2016) DOI： 10.13406/j.cnki.cyxb.000923.

摘要

目的:本研究根据高血压患者的食盐摄入量及尿蛋白情况

对高血压患者采取个体化治疗

制定出适合基层医疗机构管理高血压患者的有效方法。方法:根据整群随机

在重庆市抽取9个社区（共757人）

随机分为5个干预社区组（干预组

313人）和4个对照社区组（对照组

444人）。干预组根据食盐摄入量及尿白蛋白情况

给予个体化药物干预治疗;对照组根据医生经验进行常规治疗。随访3个月

观察降压幅度、血压达标情况及尿蛋白改善情况。结果:（1）干预组收缩压和舒张压下降幅度均明显高于对照组[15（8

24）mm Hg vs.10（2

21）mm Hg

8（2

14）mm Hg vs.4（-2

10）mm Hg

P=0.000]。（2）干预组血压控制达标率高于对照组（58.47%vs.47.07%

P=0.002）。（3）干预组尿蛋白阴转率高于对照组（35.09%vs.16.85%

P=0.012）。结论:基于高血压患者的食盐摄入量及尿蛋白情况给予个体化治疗

可有效控制血压、减少蛋白尿

适用于基层医院。

Abstract

Objective:To look into the salt intake and urine protein of hypertension patients

to take individualized treatment in patients with hypertension

and to develop a suitable effective method of hypertension management for the patients in the primary hospitals. Methods:According to the cluster random

9 communities(757 people)extracted in Chongqing

divided into 5 intervention communities(intervention group

313 people)and 4 control communities(control group

444 people). The intervention group was given the individualized drug treatment based on the salt intake and urine protein;control group was given the general treatment based on the clinical experience of the doctors in primary hospitals. All groups were followed up for 3 months

the decrease of the blood pressure

the control rate of the high blood pressure and urine protein were observed. Results:The systolic pressure and diastolic pressure was obviously decreased in the intervention group than in control group[15(8

24)mm Hg vs. 10(2

21)mm Hg

8(2

14)mm Hg vs. 4(-2

10)mm Hg

P=0.000]. The intervention group was better than the control group regarding the control rate in blood pressure(58.47%vs. 47.07%

P=0.002). The intervention group was better than the control group in the negative conversion rates of urine protein(35.09%vs. 16.85%

P=0.012). Conclusion:This method can control the blood pressure and urine protein effectively in hypertension treatment;it is suitable for primary hospitals.

关键词

基层医院高血压尿蛋白食盐摄入量

Keywords

primary hospitalshypertensionurine proteinsalt intake

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