中国的高血压控制:从临床试验转化为现实世界的应用 - - 初步结果
Guozhe Sun1, Hao Peng2, Songyue Liu1
1Department of Cardiology, the First Hospital of China Medical University, Shenyang City, Liaoning Province, China.
China CDC weekly
|July 7, 2025
概括
中国农村高血压控制项目 (CRHCP) 成功提高了中国农村的血压控制率. 这个村庄医生主导的干预措施显示了更广泛的公共卫生实施的前景.
科学领域:
- 公共卫生 公共卫生
- 心血管疾病管理管理
- 农村卫生干预措施 农村卫生干预措施
背景情况:
- 控制高血压仍然是中国农村地区的一个重大挑战.
- 中国农村高血压控制项目 (CRHCP) 开发了一个由村民医生领导的多层次高血压管理策略.
- 对大规模公共卫生计划的CRHCP模型的适应性需要评估.
研究的目的:
- 评估CRHCP模型在中国农村广泛实施的适应性和有效性.
- 评估CRHCP的试点和扩展项目的对血压控制率的影响.
- 确定CRHCP模型作为类似环境中高血压管理的可复制框架的潜力.
主要方法:
- 该研究涉及一个试点项目和随后在中国农村的扩展项目.
- 该试点项目招募了5088名高血压患者,干预时间为13个月.
- 该扩展项目选了超过100万居民,并在三个地区确定了244,046名高血压患者.
主要成果:
- 在试点项目中,血压控制 (<140/90 mmHg) 从25.7%增加到72.5%.
- 在延伸项目中,平均血压下降,控制血压比例从20.8%上升到44.0%.
- 根据CRHCP模型,研究农村地区的高血压控制显著改善.
结论:
- 当转化为公共卫生计划时,CRHCP模型显示了提高高血压控制的潜力.
- 需要进一步的研究和长期评估来确认该模型的有效性和适应性.
- 根据CRHCP模型,可以为改善低收入和中等收入国家的心血管健康结果提供可复制的框架.
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