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[1]?????.??ͥҽ??ǩԼ????Ը?Ѫѹ????Ѫѹ?????ʵ?Ӱ??[J].ҽѧ??Ϣ,2020,(15):136-139.[doi:10.3969/j.issn.1006-1959.2020.15.042]
??ZHAI Rui-feng.Influence of Contracted Service of Family Doctor on Blood Pressure Control Rateof Patients with Hypertension[J].Medical Information,2020,(15):136-139.[doi:10.3969/j.issn.1006-1959.2020.15.042]
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ҽѧ??Ϣ[ISSN:1006-1959/CN:61-1278/R]

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2020??15??
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136-139
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2020-08-01

??????Ϣ/Info

Title:
Influence of Contracted Service of Family Doctor on Blood Pressure Control Rateof Patients with Hypertension
???±??:
1006-1959??2020??15-0136-04
????:
?????
????к?ƽ??Ȱҵ????????????????????ȫ?ƣ???? 300020
Author(s):
ZHAI Rui-feng
General Department,Quanyechang Street Community Health Service Center,Heping District,Tianjin 300020,China
?ؼ???:
??ͥҽ??ǩԼ????Ѫѹ??????Ѫ֬ˮƽ
Keywords:
Family doctor contract serviceBlood pressure control rateBlood lipid level
?????:
R544.1
DOI:
10.3969/j.issn.1006-1959.2020.15.042
???ױ?־??:
A
ժҪ:
Ŀ?? ̽?ּ?ͥҽ??ǩԼ????Ը?Ѫѹ????Ѫѹ?????ʵ?Ӱ?졣???? ѡȡ2017~2019??????к?ƽ??Ȱҵ??????Ȫ???????ܼ?ͥҽ??ǩԼ????ĸ?Ѫѹ????1246????Ϊ?о????󣬷?????????????ȺѪѹ?????ʡ?????ָ????Ѫ֬???????ѹҩ??ʹ?????????? 2018????????????ȺѪѹ????ʸ???2017?꣬??????ͳ??ѧ???壨P??0.05????2019????????????ȺѪѹ????ʸ???2017?꣬??????ͳ??ѧ???壨P??0.05????2019????????????ȺѪѹ????ʸ???2018?꣬????????ͳ??ѧ???壨P??0.05????2017~2019????????????ȺBMI?Ƚϣ???????ͳ??ѧ???壨P??0.05????2017~2019????????????Ⱥ?ܵ??̴????????????????ܶ?֬???׵??̴??Ƚϣ???????ͳ??ѧ???壨P??0.05????2018?ꡢ2019????ܶ?֬???׵??̴???2017??Ƚϣ???????ͳ??ѧ???壨P??0.05????2018????2019????????????Ⱥ???ܶ?֬???׵??̴??Ƚϣ???????ͳ??ѧ???壨P??0.05????2017~2019???Ѫѹ???߷???ѹҩ?????ࣨ1?֡?2?֡?3?֡?4?֣??Ͳ???ҩ?Ƚϣ???????ͳ??ѧ???壨P??0.05????2017~2019?굥Ƭҩ??C??A??B??Dʹ??ռ?ȱȽϣ???????ͳ??ѧ???壨P??0.05????2019?괫ͳ?????Ƽ?ʹ??ռ?ȵ???2018???2017?꣬??????ͳ??ѧ???壨P??0.05????2019?????͸????Ƽ?ʹ??ռ?ȸ???2017???2018?꣬??????ͳ??ѧ???壨P??0.05????2017~2019??C+A??C+B??A+D??A+B+C??A+C+D??A+B+C+Dռ?ȱȽϣ???????ͳ??ѧ???壨P??0.05???????? ??ͥҽ??ǩԼ???????Ч???Ƹ?Ѫѹ????Ѫѹˮƽ????߸?Ѫѹ????Ѫѹ????ʣ?ָ????????ȷʹ?ý?ѹҩ?????????????ԡ?
Abstract:
Objective To explore the influence of family doctor contract service on blood pressure control rate of hypertensive patients.Methods From 2017 to 2019, 1246 hypertensive patients in Linquan Community, Quanyechang Street, Heping District, Tianjin City were selected as the research objects to analyze the blood pressure control rate, body mass index, blood lipids and the use of antihypertensive drugs in the community management population.Results The blood pressure compliance rate of the community management population in 2018 was higher than that in 2017, the difference was statistically significant (P??0.05); the blood pressure compliance rate of the community management population in 2019 was higher than that in 2017, the difference was statistically significant (P??0.05); The blood pressure compliance rate of the community management population in 2019 was higher than that in 2018, but the difference was not statistically significant (P>0.05). There was no statistically significant difference in BMI of the community management population from 2017 to 2019 (P>0.05). The total cholesterol, triglycerides, and high-density lipoprotein cholesterol of the community management population from 2017 to 2019 were not statistically different (P>0.05); There was a statistically significant difference in low-density lipoprotein cholesterol between 2018 and 2019 and 2017 (P<0.05); there was no statistically significant difference in low-density lipoprotein cholesterol between 2018 and 2019 in community management population (P>0.05). There was no statistically significant difference between the types of antihypertensive drugs (1, 2, 3, 4) taken by hypertensive patients from 2017 to 2019 and no medications (P>0.05); 2017-2019 single drug C compared with the proportions of A, B, and D, the difference was not statistically significant (P>0.05); The proportion of traditional compound preparations used in 2019 was lower than that of 2018 and 2017,the difference was statistically significant (P<0.05); the proportion of new compound preparations used in 2019 was higher than that of 2017 and 2018,the difference was statistically significant (P??0.05); the proportions of C+A, C+B, A+D, A+B+C, A+C+D, A+B+C+D from 2017 to 2019 were not statistically significant (P??0.05).Conclusion The contracted service of family doctors can effectively control the blood pressure level of hypertensive patients, increase the rate of blood pressure compliance in hypertensive patients, guide patients to use antihypertensive drugs correctly, and improve treatment compliance.

?ο?????/References:

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????????/References:

[1]??ѧ??,?? ??,?? ??,??.????һ?廯?ּ?????ģʽ???????????Ѫѹ???ߵĹ???Ч??[J].ҽѧ??Ϣ,2018,(18):169.[doi:10.3969/j.issn.1006-1959.2018.18.055]
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