期刊文献+

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研究 被引量:7

Remote BP monitoring and online health guidance for predicting cardiovascular risk in morning hypertension patients
在线阅读 下载PDF
收藏 分享 导出
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.
作者 何元 董小英 廖建辉 张波 He Yuan, Dong Xiaoying, Liao Jianhui, Zhang Bo (Department of Cardiology, Wujiang District No. 4 People's Hospital ,Suzhou 215200, Jiangsu Provine ,China)
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 Cardiovascular and Cerebrovascular 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
  • 相关文献

参考文献5

二级参考文献70

  • 1中国高血压防治指南修订委员会.中国高血压防治指南(2005年修订版).高血压杂志,2005,134:2-2. 被引量:566
  • 2世界卫生组织.新的世卫组织统计数据显示高血压和糖尿病发病率上升[EB/OL].[2014-08-05].hUp://www.who.int/2012/world_healthstatistics_20120516/zh/index.htm. 被引量:1
  • 3Wang H, Zhang X, Zhang J, et al. Factors associated with prevalence, awareness, treatment and control of hypertension among adults in Southern China: a community-based, cross-sectional survey[J]. PloS One, 2013, 8(5): e62469. 被引量:1
  • 4Shi Z, Hu X, Yuan B, et al. Vegetable-rich food pattern is related to obesity in China[J]. Int J Obes, 2008, 32 (6): 975-984. 被引量:1
  • 5Sobal J, Stunkard AJ. Socioeconomic status and obesity: a review of the literature[J]. Psychol Bul, 1989, 105 (2): 260-275. 被引量:1
  • 6Mclaren L. Socioeconomic status and obesity[J]. Epidemiol Rev, 2007, 29:29-48. 被引量:1
  • 7Seubsman SA, Lira LL, Banwell C, et al. Socioeconomic status, sex, and obesity in a large national cohort of 15-87-year-old open university students in Thailand[J]. J Epidemiol, 2010, 20( 1 ): 13-20. 被引量:1
  • 8Dahly DL, Gorden-larsen P, Popkin BM, et al. Associations between multiple indicators of socioeconomic status and obesity in young adult Filipinos vary by gender, urbanicity, and indicator used[J]. J Nutr, 2010, 140(2): 366-370. 被引量:1
  • 9Ma WJ, Tang JL, Zhang YH, et al. Hypertension prevalence, awareness, treatment, control, and associated factors in adults in southern China[ J]. Am J Hypertens, 2012, 25(5) :590-596. 被引量:1
  • 10Wong ND, Dede J, Chow VH, et al. Global cardiovascular risk associated with hypertension and extent of treatment and control according to risk group[ J]. Am J Hypertens, 2012, 25(5) :561- 567. 被引量:1

共引文献67

同被引文献82

引证文献7

二级引证文献10

论文智能改写系统
维普数据出版直通车
投稿分析
职称考试

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈