目的探讨社区规范管理对老年原发性高血压合并2型糖尿病患者血压及血糖的影响.方法 选择本社区的104例老年原发性高血压合并2型糖尿病患者为研究对象,运用随机数字表法分为对照组和观察组,各52例,对照组仅进行普通治疗和一般宣教,观察组在上述干预的基础上进行健康教育、膳食运动指导等综合干预措施.进行12个月的随访,比较两组患者血糖达标率、血压达标率及再住院率.结果 经过12个月的社区健康服务中心管理干预,观察组血压及血糖达标率明显高于对照组,差异有统计学意义(P＜0.05);观察组患者饮食控制率、适当运动率、自我监测率及遵医行为率均明显高于对照组,差异有统计学意义(P＜0.05).结论 对老年原发性高血压合并2型糖尿病患者实施社区医院管理干预可有效地控制患者的血压及血糖,提高老年原发性高血压合并2型糖尿病患者的血压、血糖达标率,值得在社区推广应用.%Objectne To discuss the influence of community healty service center management on the blood AF group( 63 rases ). 78 rases for physical examination in Chongqing Kaixian People's Hospital of the same period were selected as the control group. Blood uric acid, e choc aid iography and previous medical history and medication of every object were measured/re corded. Results Statistically significant differences in age,use of beta blorkei-s,left ventricular ejection fraction,left atrial diameter,and urir acid levels were seen between the three groups( P ＜0. 05 ). Single factor regression analysis showed,age,use of beta Mockers,left ventricular ejection fraction,left atrial diameter,urir acid,and occurrence of atrial fibrillation were significantly relat-ed( P ＜0. 01 ). Multivariate logistic regression analysis showed,uric acid levels and left ventricular ejection fraction were independent risk factor for atrial fibriliation( P ＜0. 01 ). Conclusion The serum urir acid is a simple, easier to monitor AF risk factor, which can be a research direction for the study of AF pathogenesis.rnand application in the community.
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