| 北京市东城区疾病监测协作组.北京市东城区鼓楼医院地段高血压病人的管理[J].Chinese journal of Epidemiology,1984,5(5):283-286 |
| 北京市东城区鼓楼医院地段高血压病人的管理 |
| A Hypertension Community Control Program in Gu-Lou District of East City, Beijing |
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| Abstract: |
| 本文报告了1982年北京市东城区鼓楼医院地段居民中1，248例高血压病人的管理。通过发现病人，建立病历，定期复访和年终总结四个步骤，掌握地段年初、年末患病人数、病人的并发症、死亡、防治效果等，並且结合疾病监测门诊进行防治。家庭访视每年一次，作到既基本了解情况又适应于目前基层卫生组织的能力，使工作能切实展开。1982年地段15岁以上人群高血压年初现患率12.47%，年末现患率11.20%，脑卒中发生率1.30‰。病人因脑卒中、冠心病等丧失劳动能力和生活不能自理共101例，占居民总数的7.54‰。通过管理血压达有效下降占24.34%，各症状减少约1/3人次。未见到经常服药，不经常服药或未服药对人群中血压下降有规律性变化。 |
| English Abstract: |
A Hypertension community control program wa started in Gu-Lou District of East City Beijing in 1982. One thousand and two hundred forty eight hypertensive patients were found by house-house surveys conducted in that district in 1981-1982. They were taken care of and followed up the following 4-step procedure:
I) keeping registration, 2) writing medical records, 3) making home visits, 4) doing annual summary. By this procedure the district doctor and nurse were able to keep track of their patients, knowing the exact number of them at the beginning and the end of each year, as well as their general conditions, treatments and general outcomes. To combine home visits, which were made usually at least once a year, with Surveillance Clinic, where the patients could visit any time, it was found to be a satisfactory way for both the patient and thed octor.
The prevalence rates of hypertension were found to be 12.47% and 11.20% in Gu-Lou Distict at the beginning and the end of 1982 respectively. Eighty eight cases of cerebral stroke occurred in the hypertensive patients, giving a rate of 8.78 per 1,000 population ≥ 15 years of age in 1982. Among them thirteen were new cases giving an incidence rate of 1, 3 per 1,000 population (≥ 15 years of age). One hundred and one patients became physically disable and were notable to care of themselves, giving a rate of 7.54 per 1,000 total population.
With the community control program, more then 1/3 of the patients have their symptoms improved, and 24.3% patients have their blood pressure reduced. However, no significant difference as usually expected was found between the patients who took the medicine regularly and those not regularly or none at all. |
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