摘要
目的探讨远程血压监测和在线健康指导预测清晨高血压患者心血管病风险的临床应用。方法选取在我院确诊的1200例清晨高血压患者,随机将其分为观察组与对照组,每组各600例,观察组给予远程血压监测及在线健康指导,对照组给予常规指导,比较2组患者管理前后的高血压知识知晓率、血压控制率、心功能指标变化及心脑血管事件的发生率。结果管理后,观察组患者的高血压知识知晓率和血压控制率均显著高于管理前(100.0%vs 64.0%,90.5%vs 55.2%,P<0.05),观察组的空腹血糖、TG、收缩压、舒张压、体质量指数、天冬氨酸转氨酶较管理前显著降低,丙氨酸转氨酶显著升高,差异有统计学意义(P<0.05)。观察组患者左心室舒张末期内径、左心室收缩末期内径、LVEF等心功能指标改善均明显优于对照组[(53.16±8.25)mmvs(59.33±9.14)mm、(37.16±2.13)mmvs(42.83±1.35)mm、(54.73±2.63)%vs(51.95±1.96)%,P<0.05]。观察组心脑血管事件发生率显著低于对照组(1.17%vs 3.83%,P<0.05)。结论通过远程血压监测和在线健康指导对清晨高血压患者的心血管风险进行管理,能够提高患者的高血压知识知晓率、血压控制率,可降低心脑血管事件的发生率。
Objective To study the clinical application of remote BP monitoring and online health guidance in predicting the risk of cardiovascular disease in morning hypertensive patients.Methods A total of 1200 morning hypertensive patients admitted to our hospital were randomly divided into observation group（n=600）and control group（n=600）.The patients in observation group received remote BP monitoring and online health guidance while those in control group received routine guidance.Their awareness rate of hypertension,control rate of BP,cardiac function index and incidence of cardiovascular events were recorded and compared before and after treatment.Results The awareness rate of hypertension and control rate of BP were significantly higher in observation group after treatment than before treatment（P〈0.05）.The serum FPG,TG,AST levels and SBP,DBP,BMI were significantly lower while the serum ALT level was significantly higher in observation group after treatment than before treatment（P〈0.05）.The LVEDD and LVESD were significantly shorter and the LVEF was significantly higher in observation group than in control group after treatment（53.16±8.25 mmvs 59.33±9.14 mm,37.16±2.13 mmvs 42.83±1.35 mm,54.73% ±2.63% vs 51.95% ±1.96%,P〈0.05）.The incidence of cardiovascular events was significantly lower in observation group than in control group（1.17%vs 3.83%,P〈0.05）.Conclusion Remote BP monitoring and online health guidance can effectively manage the risk factors for cardiovascular disease,improve the awareness rate of hypertension and control rate of BP,and reduce the incidence of cardiovascular events in morning hypertensive patients.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2018年第1期12-15,共4页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
基金
2015年度吴江区第二批"科教兴卫"项目(WWK201527)
关键词
血压测定
远程会诊
健康教育
高血压
blood pressure determination
remote consultation
health education
hypertension
