新疆农村哈萨克族和维吾尔族高血压患者干预效果评价

为探讨新疆农村地区少数民族(维吾尔族和哈萨克族)高血压患者药物联合健康教育的综合干预效果。采用在新疆喀什伽师县、伊犁新源县以村为单位整群随机抽样的方法,选取研究对象765例,根据血压等级分层,随机分为干预组400人,对照组365人,进行为期2年的小剂量尼群地平和/或卡托普利药物联合健康教育干预。结果显示,干预组血压水平下降13.76/7.94 mmHg,高于对照组(3.16/2.27 mmHg),P值均0.001;干预组血压控制率(44.6%)明显高于对照组(32.2%),P=0.001,基线血压等级越高,血压越难控制。由此可知,小剂量尼群地平和/或卡托普利联合健康教育降压效果良好,适宜在新疆农村少数民族地区推行。

Effects of Comprehensive Intervention on Hypertension among Xinjiang Uygurs and Kazakhs in Poor Rural

To observe the effects of comprehensive intervention for minorities（the Uygurs and Kazakhs） with hypertension in poor rural of Xinjiang,765 cases with hypertension were selected by a cluster random sampling from the population of Uygurs and Kazakhs in Jiashi and Xinyuan county of Xinjiang.According to blood pressure level,all the cases were randomly divided into two groups with 365 cases in the control and 400 cases in the intervention group intervened by drugs （nitrendipine and/or captopril） and health education. The results showed that after comprehensive intervention,the systolic and diastolic blood pressure （BP） in the intervention group was decreased by 13.76/7.94mmHg, which was significant higher than that in the control （3.16/2.27mmHg,P〈0.001）.In 2012,the blood presure control rate of the intervention group （44.6%） was obviously higher than that in the control （32.2%,P=0.001）.The conclusion was that good efficacy was achieved in combination intervention of drugs and health education in the Uygurs and Kazakhs with hypertension,which indicated that this intervention can be promoted in rural areas of minorities to control the high pressure.