臺北市立陽明醫院心血管防治計劃研究成果

高血壓與發生心血管疾病及腦中風的風險，是有直接的關係。而高血壓與心管疾病的防治，除了需要靠藥物治療外，尚需配合飲食與生活型態的改變，及有效控制如高血壓、高血魯、糖尿病等危險因子。在北市衛生局的支持下參考美國「高血壓的預防、發現、評估與治療」全國聯合委員會第六屆學會報告，制定市醫版高血壓治療指引及執行草案。以陽明醫院之心臟科的高血壓病人為主，並以高血壓網路管理系統，記合門診經理監控高血壓疾病病患。定期監測血壓、血脂、血糖、目標器官損傷及相關病況等。每半年自高血壓網路管理系統上搜集資料做並分析。在本系統下血壓良好控制率可達65%；總膽固良好控制率51%；三酸甘油脂良好控制率65%；醣化血色素＜7％達53%。

關鍵字

高血壓；高血脂；糖尿病；疾病管理師；門診經理

並列摘要

Hypertension a risk factor for the development of cardiovascular disease and stroke. Appropriate medication, life style changes, and modification of risk factors such as hypertension, hyperlipidemia, and diabetes are important to the control and prevention of hypertension and cardiovascular disease. Under the support of Department of Health Taipei City Government, the Taipei City Hospital Guidelines for the Treatment of Hypertension were developed according to the Sixth Report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure (JNC-IV) and Adult Treatment Panel Ш (ATP-Ш). These guidelines were applied to outpatients with hypertension visiting Taipei Municipal Yang-Ming Hospital. Software for monitoring the control of hypertension was developed. With the assistance of an outpatient case manager, blood pressure (BP), sugar, lipids, target organ damage and associated clinical conditions were monitored. Under this system the percents of patients with BP under 140/90 mmHg, total cholesterol under 65% and A1c in diabetics under 7% was 65%, 51%, 65%, 53% respectively. (Full text in Chinese)

並列關鍵字

hypertension ； hyperlipidemia ； diabetes ； disease manager ； clinic manager

國際替代計量

臺北市立陽明醫院心血管防治計劃研究成果

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