论文部分内容阅读
目的评价迁安市某乡镇卫生院在农村社区高血压患者中推行的免费药物干预项目的效果。方法从卫生院免费药物管理系统中调取2008年7月至2015年7月的全部高血压患者数据,并结合2011年至2015年新农合报销系统中的心脑血管疾病相关数据,以血压控制率和住院率为主要指标,对免费药物干预项目的效果进行评价。结果本研究显示,干预后患者累计血压控制率为55.38%,干预时间、首诊收缩压(SBP)与首诊舒张压(DBP)是影响高血压控制率的影响因素。干预时间的OR值为1.012(1.004~1.019);首诊SBP的OR值为0.964(0.958~0.970);首诊DBP的OR值为0.986(0.976~0.997)。干预后患者SBP累计下降了(25.05±20.47)mm Hg,DBP累计下降了(13.58±12.15)mm Hg。近5年推行免费药物干预乡镇的高血压相关心脑血管疾病的住院率低于其余乡镇,且在2015年出现明显下降,提示该免费药物干预可以有效降低高血压相关心脑血管疾病的发病。结论该农村社区推行的免费药物干预项目对高血压的控制有较好的效果,坚持推行可以预防和减少心脑血管疾病的发生。
Objective To evaluate the effect of a free drug intervention project implemented in a township hospital in Qian’an in rural community. Methods The data of all hypertensive patients from July 2008 to July 2015 were retrieved from the free drug administration system in hospitals. Based on the data of cardiovascular and cerebrovascular diseases in NCMS reimbursement system from 2011 to 2015, Control rate and hospitalization rate as the main indicators, to evaluate the effect of free drug intervention project. Results The study showed that the cumulative blood pressure control rate was 55.38% after intervention. Intervention time, SBP and DBP were the influencing factors of hypertension control rate. The odds ratio (OR) of intervention time was 1.012 (1.004-1.019). The OR of SBP was 0.964 (0.958-0.970) in the first visit and 0.986 (0.976-0.997) in the first diagnosis of DBP. After intervention, SBP decreased by (25.05 ± 20.47) mm Hg and DBP decreased by (13.58 ± 12.15) mm Hg. In the recent 5 years, the hospitalization rate of hypertension-related cardiovascular and cerebrovascular diseases with free drug intervention in towns and townships was lower than that of the remaining towns and townships, with a significant decrease in 2015, suggesting that this free drug intervention can effectively reduce the incidence of hypertension-related cardiovascular and cerebrovascular diseases. Conclusion The free drug intervention program promoted by the rural community has a good effect on the control of hypertension. Insisting on the implementation can prevent and reduce the occurrence of cardiovascular and cerebrovascular diseases.