Impact of community-based different hypertension management models on the incidence of cardio-cerebrovascular disease in hypertensive patients
- VernacularTitle:不同社区管理模式对高血压患者并发心脑血管疾病的影响
- Author:
Xin-Yi RUI
1
;
Xiao-Nan RUAN
;
Yi ZHOU
;
Hua QIU
;
Xian-Feng ZHOU
;
Kang WU
;
Si-Yu YU
;
Xiao-Nan WANG
;
Li-Peng HAO
;
Hong ZHANG
;
Yun PENG
;
Wen-Jie BI
Author Information
1. 上海市浦东新区疾病预防控制中心
- Keywords:
Hypertension;
Community based management model;
Cardio-cerebrovascular disease
- From:
Shanghai Journal of Preventive Medicine
2015;(10):605-608
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate different hypertension management models in communities and their impact on incidence of cardio-cerebrovascular disease in hypertensive patients. Methods A total of 1 578 hypertension patients in several communities in Pudong New Area were recruited in the study ( August 2008 to December 2012 ) according to the inclusion criteria and randomly divided into two groups.The control group was given routine hypertension management and the study group was given detailed hypertension management, while health commissioners and community physicians were in charge of the follow-up and data collection. Results The incidence of cardio-cerebrovascular disease (1.33%) in study group (1.33%) was significantly lower than that of the control group (4.22%) ( P <0.05). Multivariate logistic regression analysis showed that age, male, course-of-disease, patients with hypertension family history, increase in SCr and LDL-C increased the risk for getting ardio-cerebrovascular disease (P <0.05).The risk of study group was 0.348 times the control group ( P <0.05). Conclusion Compared with control group, detailed hypertension management model conducted in study group has the advantages that effectively reduced the rate of cardio-cerebrovascular disease.
