目的 观察二级医院参与社区高血压防治的效果,探讨6分钟步行试验和踝臂指数推广的操作可行性.方法 对社区中高血压居民实行健康管理,二级医院参与高血压干预治疗,同时随访检查6分钟步行试验和踝臂指数,随访2年,观察血压控制各指标及2项检查的安全性和临床意义.结果 高血压各指标控制达标率高,6分钟步行试验和踝臂指数检查安全无损伤,对临床工作和预后评估有指导意义.结论 社区高血压干预治疗需要上级医院的参与指导,进一步提高高血压控制达标率.6分钟步行试验和踝臂指数检查安全可靠.%Objective To observe the participation effect of secondary level hospitals during the hypertension inter-vention in community and the promotion feasibility of six-minute walk test and ankle brachial index . Methods To conduct management on the health of hypertension resident in the jurisdictional community . The secondary level hospitals participated in the hypertension intervention treatment . Meanwhile , six-minute walk test and ankle and brachial indexes were checked. After two years of study, we observed all indexes of blood pressure control and the safety and clinical sig-nificance of the two items. Result The qualified control rate for various indices of hypertesion was high . The six-minute walk test and ankle branchial index test were safe and non-invasive, which provided guidlines to the clinical work and prognostic evaluation. Conclusion The hypertension intervention treatment in the community requires participation and guidance of the superior hospitals in order to improve qualified control rate of hypertension . Since the six-minute walk test and ankle brachial index are safe , so such kind of method is worthy of promotion in the community .
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