社区高血压中医综合管理的效果评价
摘 要 目的：評价社区高血压中医综合管理的效果。方法：把100例规律服药的高血压患者随机分为常规管理组和综合管理组。对常规管理组患者提供针对性的用药和生活方式指导以及高血压健康教育；综合管理组是在常规管理基础上针对患者不同的中医体质特点，提供中医护理和健康教育。在管理12周和24周后比较两组患者的血压、体重指数、肝功能、肾功能、血脂、中医知识知晓率和中医管理满意度，并在干预结束后6个月和12个月调查临床事件发生情况。结果：管理12周和24周后，综合管理组患者收缩压和舒张压比管理前有明显下降，管理24周后中医体质有明显改善，差异均有统计学意义(P<0.05)；对中医的满意度和知晓率明显高于常规组(P<0.05)；临床事件发生率明显低于常规管理组(P<0.05)。结论：中医综合管理可改善高血压患者的中医体质，提高血压控制水平。
关键词 高血压；中医管理；效果评价；体质辨识
中图分类号：R544.1 文献标志码：A 文章编号：1006-1533(2020)04-0037-05
Evaluation of the effect of traditional Chinese medicine comprehensive management of hypertension in the community
BI Yueping1， HUA Yankun2(1.Traditional Chinese Medicine Department of Yinhang Community Health Service Center of Yangpu District， Shanghai 200438， China； 2. Traditional Chinese Medicine Department of Siping Community Health Service Center of Yangpu District， Shanghai 200092， China)
ABSTRACT Objective： To evaluate the effect of traditional Chinese medicine (TCM) comprehensive management of hypertension in the community. Methods： One hundred patients with hypertension taking medication regularly were randomly divided into a routine management group and a comprehensive management group. The patients in the routine management group were provided with targeted medication， lifestyle guidance and hypertension health education； the comprehensive management group was provided with TCM nursing and health education according to the different constitution characteristics of the patients on the basis of routine management. After 12 and 24 weeks of management， the blood pressure， body mass index， liver and kidney function， blood lipid， TCM knowledge awareness rate and TCM management satisfaction of the two groups were compared， and clinical events were investigated after 6 and 12 months of the intervention. Results： After 12 and 24 weeks of management， the systolic and diastolic blood pressures of the patients in the comprehensive management group were significantly lower than those before management， after 24 weeks of management， the constitution of Chinese medicine was improved significantly， and the differences were statistically significant(P<0.05)； satisfaction and awareness of TCM of the comprehensive management group were significantly higher than those of the routine management group(P<0.05)； the incidence of clinical events of the comprehensive management group was significantly lower than that of the routine management group(P<0.05). Conclusion： The comprehensive management of traditional Chinese medicine can improve the constitution of traditional Chinese medicine and the level of blood pressure control in the patients with hypertension., 百拇医药(毕月萍 华焱坤)
关键词 高血压；中医管理；效果评价；体质辨识
中图分类号：R544.1 文献标志码：A 文章编号：1006-1533(2020)04-0037-05
Evaluation of the effect of traditional Chinese medicine comprehensive management of hypertension in the community
BI Yueping1， HUA Yankun2(1.Traditional Chinese Medicine Department of Yinhang Community Health Service Center of Yangpu District， Shanghai 200438， China； 2. Traditional Chinese Medicine Department of Siping Community Health Service Center of Yangpu District， Shanghai 200092， China)
ABSTRACT Objective： To evaluate the effect of traditional Chinese medicine (TCM) comprehensive management of hypertension in the community. Methods： One hundred patients with hypertension taking medication regularly were randomly divided into a routine management group and a comprehensive management group. The patients in the routine management group were provided with targeted medication， lifestyle guidance and hypertension health education； the comprehensive management group was provided with TCM nursing and health education according to the different constitution characteristics of the patients on the basis of routine management. After 12 and 24 weeks of management， the blood pressure， body mass index， liver and kidney function， blood lipid， TCM knowledge awareness rate and TCM management satisfaction of the two groups were compared， and clinical events were investigated after 6 and 12 months of the intervention. Results： After 12 and 24 weeks of management， the systolic and diastolic blood pressures of the patients in the comprehensive management group were significantly lower than those before management， after 24 weeks of management， the constitution of Chinese medicine was improved significantly， and the differences were statistically significant(P<0.05)； satisfaction and awareness of TCM of the comprehensive management group were significantly higher than those of the routine management group(P<0.05)； the incidence of clinical events of the comprehensive management group was significantly lower than that of the routine management group(P<0.05). Conclusion： The comprehensive management of traditional Chinese medicine can improve the constitution of traditional Chinese medicine and the level of blood pressure control in the patients with hypertension., 百拇医药(毕月萍 华焱坤)