| Objective:To compared with the traditional hypertension outpatient follow-up management model,this study intends to use the remote transmission upper arm electronic sphygmomanometer and the Internet-based information management model,in order to explore the reduction of the incidence of hypertension,acute complications,hypertension Scientific and efficient management model provides theoretical basis.Methods:754 patients with hypertension who were admitted and filed in the Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University and its cooperating community hospitals from January 2015 to January 2018 were used as the research object,using the principle of simple random sampling(Envelope method),divide the overall research objects into control group and test group,collect and analyze general patient data,and implement health education,dietary intervention,and exercise intervention for all research objects according to the"Chinese Hypertension Prevention and Control Guideline 2018 Revision".The patients in the experimental group accepted the remote transmission upper arm electronic sphygmomanometer and used the Internet-based information management mode.In this mode,the patients acquired the real-time measured blood pressure information through the remote transmission upper arm electronic sphygmomanometer collection,and the measurement results were stored and stored via the Internet technology,transmitted to the responsible doctor,the same doctor will evaluate the monitoring results in a timely manner,and the responsible doctor will call back in time.The control group accepts the traditional outpatient follow-up management model,encouraging patients to monitor blood pressure at home by themselves,and return to the responsible doctor every month.The doctor understands the effect of the patient's blood pressure control,and accordingly puts forward the corresponding diagnosis and treatment opinions,all the subjects studied for a total of 12 months.The incidences of acute complications of hypertension after intervention,blood pressure,heart rate,BMI value,blood lipids,glycated hemoglobin and other clinical examination indexes were collected in two groups of patients,and the corresponding statistical methods were used to evaluate the treatment effects of the two management modes.Results:1.A total of 754 were included in this study,376 cases in thecontrol group(2patients were eventually lost to follow-up),accounting for 49.87%,and 378 cases in the experimental group,accounting for 50.13%.Analysis of general patient data showed no statistically significant differences in gender distribution,age distribution,education level distribution,employment status distribution,smoking status,distribution of high blood pressure awareness,and medication compliance among the control and test groups(P>0.05).2.The complication rate after the experiment was compared between the two groups,the results showed that the incidence of acute angina(10.37%),acute myocardial infarction(8.25%),acute heart failure(6.65%),acute stroke(7.18%),accelerated hypertension(9.31%)in the control group was significantly higher than that in the experimental group(5.29%,3.44%,3.44%,3.70%and 4.23%).The difference between the two groups was statistically significant(P<0.05).3.The blood pressure and heart rate fluctuations(?SBP,?DBP,?HR)of the control group and the test group within three months after intervention were lower than those of the previous three months,and the test group patients three months later Internal?SBP(19.74±4.23)mmHg,?DBP(10.74±2.64)mmHg,?HR(10.46±2.94)times per minute were lower than the control group(23.55±4.47)mmHg,(12.39±2.81)mmHg,(12.87±3.01)times per minute.The difference between the two groups was statistically significant(P<0.05).4.To analyze and compare the blood pressure values of the two groups before and after intervention.The SBP of the experimental group decreased from 148mmHg to 128mmHg,DBP decreased from 94.5mmHg to 82mmHg,and the heart rate decrease from 86 times per minute to 74.5 times per minute,which was greater than that of the control group,and the difference between the two groups was statistically significant(P<0.05).5.Analyze and compare the physiological and biochemical indicators of the two groups of people before and after intervention.The BMI of the experimental group decreased from 21.15kg/m~2 to 20.6kg/m~2,the TC decreased from(4.79±1.17)mmol/L to(3.79±0.78)mmol/L,and the TG decreased from 1.63mmol/L to1.22mmol/L,LDL decreased from(2.65±1.08)mmol/L to(1.95±0.78)mmol/L,HbA1c decreased from 5.9%to 5.25%,which was greater than that of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:1.Informatization and homogenization management mode can effectively control the occurrence of acute complications in patients with hypertension.2.Informatization and homogenization management models have obvious effects in controlling blood pressure of patients with hypertension and delaying the progression of the disease. |
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