成都市双楠社区高血压综合干预治疗现状调查_《中国循证医学杂志》

作者：

陈旸 ¹ , 刘明江 ¹ , 叶志君 ²

1. 四川省人民医院心内科（成都 610072）；2. 四川省人民医院双楠门诊部（成都 610072）;

关键词：

高血压社区治疗性生活方式改善综合干预

DOI：

10.7507/1672-2531.20090212

视频：

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目的　了解城市社区高血压综合干预治疗现状，为探索城市社区高血压防治干预方式提供证据。
方法　采用分层随机抽样的方法，抽取成都市双楠社区原发性高血压患者136 例，其中男性77 例，女性59 例，平均年龄59±3.9 岁。按其使用降压药物种类的不同进行分组，观察各组治疗3 个月后的顺从指数（CI）、达标率；并在此基础上对患者进行为期3 个月的治疗性生活方式改善（TLC）干预，以观察比较TLC 干预前后患者血压水平、达标率。
结果　联合用药组（n=12）达标率最高（83.3%），长效钙通道阻滞剂组（n=31）达标率（54.8%）及CI（91.4%）均较高，短效制剂组（n=25）达标率（8.0%）及CI（41.2%）均最低；进行TLC 干预后，患者血压水平明显下降，达标率增加，干预前后差异有统计学意义（P lt;0.05）。
结论　本调查结果提示，应加强对城市社区高血压患者综合干预方式的规范化，积极实施在TLC 基础上合理用药的方案。

引用本文： 陈旸,刘明江,叶志君. 成都市双楠社区高血压综合干预治疗现状调查. 中国循证医学杂志, 2009, 09(11): 1169-1172. doi: 10.7507/1672-2531.20090212 复制

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9.	DASH-Sodium Trial Collaborative Research Group. Effects of the Dietary Approaches to Stop Hypertension (DASH) diet on the pressure-natriuresis relationship. Hypertension, 2003, 42 (1): 8-13.
10.	孙高峰, 阿丽娅•买买提热依木. 我国高血压社区综合干预方法及效果评价研究进展. 中国慢性病预防与控制, 2007, 15(5): 509.

1. Bavikati VV, Sperling LS, Salmon RD, et al. Effect of comprehensive therapeutic lifestyle changes on prehypertension. AmJ Cardiol, 2008, 102(12): 1677-1680.
2. 中国高血压防治指南修订委员会. 中国高血压防治指南(2005年修订版). 北京: 人民卫生出版社, 2006, 8.
3. Appel LJ, Brands MW, Daniels SR, et al. Dietary approaches to prevent and treat hypertension: a scientific statement from the American Heart Association. Hypertension, 2006, 47(2): 296-308.
4. Mancia G, De Backer G, Dominiczak A, et al. 2007 Guidelines for the management of arterial hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J, 2007, 28 (12): 1462-1536.
5. Poulter NR, Wedel H, Dahlof B, et al. Role of blood pressure and other variables in the differential cardiovascular event rates noted in the Anglo-Scandinavian Cardiac Outcomes Trial-Blood Pressure Lowering Arm (ASCOT-BPLA). Lancet, 2005, 366(9489): 907-913.
6. Jamerson K, Weber MA, Bakris GL, et al. (ACCOMPLISH investigators) Benazepril plus amlodipine or hydrochlorothiazide for hypertension in high-risk patients. N Engl J Med, 2008, 359(23): 2417-2428.
7. Expert Paned on Detection, Evaluation, and treatment of high blood cholesterol in adults. Summary of the third report of the nation cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol (adult treatment panel Ⅲ). JAMA, 2001, 285(10): 2486-2497.
8. National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure: the JNC 7 report. JAMA, 2003, 289(19): 2560-2572.
9. DASH-Sodium Trial Collaborative Research Group. Effects of the Dietary Approaches to Stop Hypertension (DASH) diet on the pressure-natriuresis relationship. Hypertension, 2003, 42 (1): 8-13.
10. 孙高峰, 阿丽娅•买买提热依木. 我国高血压社区综合干预方法及效果评价研究进展. 中国慢性病预防与控制, 2007, 15(5): 509.

《中国循证医学杂志》

成都市双楠社区高血压综合干预治疗现状调查

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《中国循证医学杂志》

成都市双楠社区高血压综合干预治疗现状调查

摘要 全文 图表 视频 参考文献 施引文献 补充材料

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