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