【摘要】：目的1.觀察家庭自測(cè)血壓在高血壓患者院外管理中的作用;2.探討不同形式的家庭自測(cè)血壓在高血壓患者血壓變異性、血壓水平和失訪率管理中的應(yīng)用;3.分析不同形式的家庭自測(cè)血壓在不同年齡高血壓患者院外管理中的差別。方法 選取2016年6月到2016年12月于我院就診的高血壓患者342例為研究對(duì)象,將入選患者按自愿原則分為家庭自測(cè)血壓組212例,對(duì)照組130例;家庭自測(cè)血壓組進(jìn)一步按自愿原則再次分為遠(yuǎn)程監(jiān)控組60例和傳統(tǒng)自測(cè)組152例,分別以不同的管理方式對(duì)各組患者進(jìn)行隨訪管理,6周后比較各組患者之間血壓變異性、血壓水平和失訪率的差異;同時(shí),分別將傳統(tǒng)自測(cè)血壓組和遠(yuǎn)程監(jiān)控組患者按年齡分為年齡55歲組、55歲≤年齡≤65歲組和年齡65歲組,分別比較不同年齡患者之間血壓變異性、血壓水平和失訪率的差異。結(jié)果1.隨訪6周后,兩組患者體重、體質(zhì)指數(shù)(BMI)、診室收縮壓、舒張壓均明顯低于入組時(shí)的基線數(shù)據(jù),其中家庭自測(cè)血壓組患者血脂水平及再次就診率與對(duì)照組之間存在顯著差異;2.經(jīng)過(guò)6周的隨訪,遠(yuǎn)程監(jiān)控家庭自測(cè)血壓組患者收縮壓標(biāo)準(zhǔn)差、收縮壓變異系數(shù)、收縮壓平均值、舒張壓平均值均顯著低于傳統(tǒng)家庭自測(cè)血壓組患者(6.69±1.81 VS 8.30±3.13,P=0.016;0.05±0.02 VS 0.06±0.02,P=0.048;127.66±6.16 VS 129.51±9.09,P0.001;75.99±6.37 VS 76.58±8.25,P0.001),遠(yuǎn)程監(jiān)控家庭自測(cè)血壓組患者體重、診室收縮壓舒張壓、收縮壓標(biāo)準(zhǔn)差、收縮壓變異系數(shù)、收縮壓平均值、舒張壓標(biāo)準(zhǔn)差、舒張壓變異系數(shù)、舒張壓平均值下降幅度均顯著大于傳統(tǒng)家庭自測(cè)血壓組患者。3.在傳統(tǒng)家庭自測(cè)血壓組中,患者失訪率高達(dá)46.1%,而遠(yuǎn)程監(jiān)控家庭自測(cè)血壓組中僅有10.0%;4.對(duì)傳統(tǒng)自測(cè)組隨訪6周不同年齡層患者之間的比較發(fā)現(xiàn):不同年齡層患者收縮壓變異性、血壓水平以及失訪率控制水平明顯不同,而在遠(yuǎn)程監(jiān)控組患者中,不同年齡層患者之間血壓變異性、失訪率等均無(wú)明顯統(tǒng)計(jì)學(xué)差異。結(jié)論 家庭自測(cè)血壓可有效觀察高血壓患者血壓水平和降低再次就診率;而遠(yuǎn)程監(jiān)控家庭自測(cè)血壓在不同年齡層高血壓患者中對(duì)其血壓變異性、血壓水平以及失訪率的影響明顯優(yōu)于傳統(tǒng)家庭自測(cè)血壓。
[Abstract]:Objective 1. To observe the role of family self-measured blood pressure in the management of hypertension. 2. To explore the application of different forms of self-measured blood pressure in hypertension patients in the management of blood pressure variability, blood pressure level and missing visit rate. 3. To analyze the difference of self-measured blood pressure in different age patients. Methods 342 patients with hypertension from June 2016 to December 2016 in our hospital were selected and divided into two groups according to the voluntary principle: 212 cases in the family self blood pressure group and 130 cases in the control group. The blood pressure group was further divided into remote monitoring group (n = 60) and traditional self-test group (n = 152) according to voluntary principle. The patients in each group were followed up with different management methods, and blood pressure variability was compared after 6 weeks. The difference of blood pressure level and missing rate; At the same time, the patients in the traditional self-blood pressure group and the remote monitoring group were divided into the age group of 55 years old, the group of 55 鈮，

本文編號(hào)：2305035