首页|基于队列的高血压患者管理服务效果分析

基于队列的高血压患者管理服务效果分析

Effect of hypertension management service based on a cohort study

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目的 了解宁波地区高血压患者管理服务的实施效果.方法 从宁波市成人慢病监测队列(2015-2019年)人群中选取参与高血压管理服务满1年及以上的高血压患者,对其2015年和2019年血压控制率、各项体格检查和生化指标进行对比分析.结果 共纳入569名调查对象,血压控制率从2015年的49.21%(280/569),上升到2019年的71.53%(407/569).不同亚组的血压控制率从2015年至2019年均有所上升,差异均有统计学意义(配对卡方检验,P均<0.05).城市人群从56.99%(208/365)上升到80.82%(295/365),农村人群从35.29%(72/204)上升到 54.90%(112/204),男性从 44.44%(108/243)上升到 72.84%(177/243),女性从 52.76%(172/326)上升到70.55%(230/326),糖尿病患者从58.74%(84/143)上升到73.43%(105/143),血脂异常患者从50.48%(155/307)上升到 76.55%(235/307).同时,调查对象的收缩压下降 8.00 mmHg(1 mmHg=0.133 kPa),舒张压下降4.50 mmHg,BMI下降0.47 kg/m2,总胆固醇下降0.05 mmol/L,高密度脂蛋白胆固醇上升0.09 mmol/L,低密度脂蛋白胆固醇下降0.15 mmol/L.结论 宁波地区高血压患者在接受患者管理服务期间,血压下降的同时,血脂调节和体重管理也出现了积极的转变.
Objective To investigate the implementation effect of hypertension management service in Ningbo.Methods Hypertensive patients who participated in hypertension management service for at least 1 year from the adult chronic disease monitoring cohort in Ningbo City(2015-2019)were enrolled.A comparative analysis was conducted on their blood pressure control rates,physical examinations,and laboratory tests in 2015 and 2019.Results A total of 569 participants were enrolled.The blood pressure control rate increased from 49.21%(280/569)in 2015 to 71.53%(407/569)in 2019.The blood pressure control rates of different subgroups increased from 2015 to 2019 with significant differences(paired chi-square test,P all<0.05).In urban populations,it increased from 56.99%(208/365)to 80.82%(295/365),and in rural populations,it increased from 35.29%(72/204)to 54.90%(112/204).For males,it increased from 44.44%(108/243)to 72.84%(177/243),and for females,it increased from 52.76%(172/326)to 70.55%(230/326).Among diabetic patients,it increased from 58.74%(84/143)to 73.43%(105/143),and among patients with abnormal blood lipids,it increased from 50.48%(155/307)to 76.55%(235/307).Additionally,the systolic blood pressure decreased by 8.00 mmHg(1 mmHg=0.133 kPa),diastolic blood pressure decreased by 4.50 mmHg,body mass index decreased by 0.47 kg/m2,total cholesterol decreased by 0.05 mmol/L,high-density lipoprotein cholesterol increased by 0.09 mmol/L,and low-density lipoprotein cholesterol decreased by 0.15 mmol/L among the surveyed subjects.Conclusions Hypertensive patients receiving hypertension management service in Ningbo not only experience a decrease in blood pressure but also show positive changes in blood lipid regulation and weight management.

HypertensionCohort studyPatient managementDyslipidemiaWeight

李思萱、崔军、应焱燕、纪威、包凯芳、刘慧慧

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宁波市疾病预防控制中心慢性非传染性疾病防制所,宁波 315010

宁波市疾病预防控制中心大数据所,宁波 315010

中国疾病预防控制中心研究生院中国现场流行病学培训项目,北京 100032

高血压 队列研究 患者管理 血脂异常 体重

宁波市医学品牌学科中国现场流行病学培训项目宁波市卫生健康科技计划项目

PPXK2018-107200242022Y25

2024

国际流行病学传染病学杂志
中华医学会,浙江省医学科学院

国际流行病学传染病学杂志

CSTPCD
影响因子:0.424
ISSN:1673-4149
年,卷(期):2024.51(2)
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