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目的:探究个体化的疾病管理,在老年高血压患者管理中的应用效果。方法:以2013年1月~2015年1月浙江省临安市人民医院诊治的600例老年高血压患者为研究对象,将其随机分为干预管理组300例和非管理组300例。对两组患者进行为期两年的随访,比较分析两组患者血压控制情况及并发症发生率、死亡率。结果:干预管理组患者高血压控制情况明显,优于非管理组患者(P<0.05)。且干预组患者并发症发生率及死亡率,明显低于非管理组患者(P<0.05)。结论:个体化的疾病管理在老年高血压管理中,应用效果显著,不但能够有效降低高血压水平,而且还可以减少各类并发症的产生。
OBJECTIVE: To explore the effect of individualized disease management in the management of elderly hypertensive patients. Methods: One hundred and sixty hypertensive patients diagnosed and treated in Lin’an People’s Hospital of Zhejiang Province from January 2013 to January 2015 were randomly divided into intervention management group (300 cases) and non-management group (300 cases). The two groups of patients were followed up for two years, compared the two groups of patients with blood pressure control and complications, mortality. Results: Hypertension control was significantly better in intervention management group than in non-management group (P <0.05). The incidence of complication and mortality in intervention group were significantly lower than those in non-management group (P <0.05). Conclusion: Individualized disease management has significant effect in the management of hypertension in elderly patients. It not only can effectively reduce the level of hypertension, but also reduce the incidence of various complications.