摘要
目的探索远程血压监测在社区高血压慢性病管理中的应用价值,为社区高血压规范化管理提供新思路。方法选取2014年1月—2015年6月上海市浦江社区卫生服务中心慢性病管理系统中的高血压患者180例,采用随机数字表法分为门诊血压检测组,家庭血压自测组,远程血压检测组共3组(各60例),12周后观察并对比各组患者的血压情况。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果干预12周后远程监测组SBP、DBP、应答次数[(133.6±9.0)mm Hg、(86.8±6.7)mm Hg、(37.6±4.4)次]远优于家庭自测组[(141.2±11.3)mm Hg、(90.7±4.9)mm Hg、(18.1±2.4)次]和门诊监测组[(141.9±9.0)mm Hg、(91.1±4.8)mm Hg、(9.7±2.8)次],比较差异有统计学意义(均P<0.05);远程监测组血压达标率(91.25%)分别与家庭自测组(77.5%)和门诊监测组(72.5%)比较,差异有统计学意义(均P<0.05)。结论社区应用远程血压监测可明显提升血压控制力度、血压达标率及应答次数。
Objective To explore the value of remote blood pressure monitoring in the management of chronic hypertension in the community.Methods A total of 180 hypertensive cases selected from January 2014 to June 2015 in the chronic management system of the health service center of Shanghai pujiang community health service center. Cases were randomly divided into three groups,outpatient blood pressure test group, home blood pressure self-test group and remote blood pressure test group with 60 cases in each group. Twelve weeks later, blood pressure was compared between groups. Measurement data were compared by t test and enumeration data were compared by χ~2 test. P0.05 was considered statistically significant. Results After 12 weeks of intervention, SBP, DBP, blood pressure index and response times of the remote blood pressure group [（133.6±9.0）mm Hg,（86.8±6.7）mm Hg, 91.25%,（37.6±4.4）] were better than family self-test group [（141.2±11.3）mm Hg,（90.7±4.9）mm Hg,77.50%,（18.1±2.4）] and outpatient testing group [（141.9±9.0）mm Hg,（91.1±4.8）mm Hg,72.5%,（9.7±2.8）]. Differences between the groups were statistically significant（all P0.05）. Conclusions The application of remote blood pressure monitoring in the community can control blood pressure and improve blood pressure index and response times effectively.
出处
《社区医学杂志》
2017年第20期1-3,共3页
Journal Of Community Medicine
基金
基金项目:远程血压监控对高血压病人血压控制的研究(2013MW83)
关键词
高血压
远程血压监测
社区
High blood pressure
Remote blood pressure monitoring
Community
