内科

目的探讨信息化管理老年高血压患者的实际效果，提高管理水平。方法选取2016年1月至2018年12月我院收治的高血压患者2 965例研究对象，采用抽签法随机分为两组，对照组患者给予常规管理，观察组患者给予信息化管理，持续干预3年。比较两组患者管理前后的家庭自测血压率、服药依从率、治疗率和控制率；比较两组患者管理前后的血糖、血脂达标情况以及体质量和生活方式变化情况。结果持续管理3年后，两组患者的家庭自测血压率、服药依从率、治疗率和血压控制率均显著提高，观察组患者的水平显著高于对照组，差异有统计学意义（P＜0.05）；两组患者的血糖、总胆固醇、三酰甘油、低密度脂蛋白达标率均显著提高，观察组患者的达标率显著高于对照组，差异有统计学意义（P＜0.05）；两组患者中超重、饮酒、吸烟患者所占比例均显著降低，规律运动、低盐饮食患者所占比例显著升高；观察组患者中超重、饮酒、吸烟患者所占比例显著低于对照组，规律运动、低盐饮食患者所占比例显著高于对照组，差异有统计学意义（P＜0.05）。结论信息化管理能有效提高老年高血压患者血压控制率，改善患者的不良生活方式，减少心血管疾病发病的危险因素。

ObjectiveTo explore the practical effect of information management on hypertension, and to improve management level. MethodsA total of 2965 patients with hypertension admitted to our hospital from January 2016 to December 2018 were randomly divided into two groups by the lottery method. Patients in the control group were administered routine management, whereas the observation group with information management, for three-year continuous management. The pre- and post-management home self-tested blood pressure rate, medicine administration compliance rate, treatment rate, and control rate were compared between the two groups. The conditions of reaching the standard in blood glucose, blood lipid, and the changes of body mass, lifestyle before and after management were compared between the two groups. ResultsThree years after continuous management, the home self-tested blood pressure rate, medicine administration compliance rate, treatment rate, and blood pressure control rate of the two groups increased significantly, and the levels in the observation group was significantly higher than those in the control group, with statistically significant differences (P＜0.05). The rates of reaching the standard in blood glucose, total cholesterol, triacylglycerol, and low-density lipoprotein of the two groups significantly increased, and the abovementioned rates of the observation group were significantly higher than those of the control group, with statistically significant differences (P＜0.05). The proportion of patients in overweight, drinking and smoking decreased significantly, and the proportion of patients in regular exercise and low-salt diet increased significantly. The observation group yielded lower proportion in overweight, drinking and smoking, and higher proportion in regular exercise and low-salt diet compared to the control group, with statistically significant differences (P＜0.05). ConclusionInformation management can effectively improve the blood pressure control rate and unhealthy lifestyle of elderly patients with hypertension, and it can reduce the risk factors for cardiovascular disease.