摘要目的:探讨基于远程动态血压监测系统的社区管理对老年高血压病患者的干预效果。方法:选取郑州市经五路社区卫生服务中心2016年6月—2017年6月登记管理的68例老年高血压病患者为对照组，选取2017年7月—2018年6月登记管理的68例老年高血压病患者为观察组。对照组采取常规社区高血压病管理，观察组开展以远程动态血压监测为基础的社区综合干预。比较两组患者血压控制情况、高血压病知识知晓情况及行为改变情况。结果:干预6个月后，观察组血压控制率为79.4%（54/68），对照组为63.2%（43/68），两组比较差异有统计学意义（χ 2=4.350， P<0.05）；观察组高血压病相关知识得分（8.6±2.4）分，对照组（6.5±2.1）分，差异有统计学意义（ t=5.430， P<0.05）；干预后观察组患者遵医服药、适量运动、盐摄入控制、饮酒控制依从率均高于对照组，差异有统计学意义（χ 2值分别为4.248、10.462、7.158、13.403； P<0.05）。 结论:基于远程动态血压监测的社区管理能够提高高血压病患者血压控制效果，提高患者高血压病知识水平和血压控制行为依从性。

abstractsObjective:To explore the effects of community management based on remote ambulatory blood pressure monitoring system in elderly hypertensive patients.Methods:Totally 68 elderly hypertensive patients registering at Jingwu Road Community Health Service Center in Zhengzhou from June 2016 to June 2017 were included into the control group, while another 68 elderly hypertensive patients registering from July 2017 to June 2018 were included into the observation group. Patients in the control group received routine community management for hypertension, while patients in the observation group received comprehensive community intervention based on the remote ambulatory blood pressure monitoring system. The blood pressure control, knowledge of hypertension, and behavioral changes were compared between the two groups.Results:After 6 months of intervention, the blood pressure control rate was 79.4% (54/68) in the observation group and 63.2% (43/68) in the control group, and the difference between the two groups was statistically significant (χ 2=4.350, P<0.05) . The score of hypertension-related knowledge was (8.6±2.4) in the observation group and (6.5±2.1) in the control group, and the difference was statistically significant ( t=5.430, P<0.05) . After intervention, patients in the observation group followed the medication, exercise, and salt. The compliance rate of medication, moderate exercise, salt intake control, and drinking control of the observation group were higher than those of the control group, and the difference was statistically significant (χ 2=4.248, 10.462, 7.158, 13.403; P<0.05) . Conclusions:Community management based on the remote ambulatory blood pressure monitoring can improve the effects of blood pressure control on hypertensive patients, and enhance their knowledge level and behavior compliance.