我国高血压社区综合干预效果的Meta分析

发布时间：2018-03-10 20:26

本文选题：高血压　切入点：医院　出处：《中华疾病控制杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的研究和评价现阶段我国不同地区的高血压社区综合干预效果,为高血压社区干预方式的选择和优化提供依据。方法收集2009-2015年中国知网、万方、维普、中国生物医学文献等数据库相关文献,严格按照制定的纳入与排除标准选择文献。根据异质性检验结果,采用随机效应模型计算合并效应值,进行高血压社区综合干预总体效果的Meta分析;并分别以城乡、长江以南和以北地区进行亚组分析。结果最终纳入14篇文献。Meta分析结果显示,高血压干预效果的合并效应值为0.64(95%CI:0.60~0.68),差异有统计学意义(Z=32.61,P0.001);城市和农村地区的合并效应值分别为0.66和0.57,差异均有统计学意义(均有P0.001);长江以南和以北地区的合并效应值分别为0.63和0.64,差异均有统计学意义(均有P0.001)。结论我国(城市或农村、长江以南或以北地区)高血压社区综合干预均存在明确的效果。
[Abstract]:Objective to study and evaluate the comprehensive intervention effect of hypertension community in different regions of China at present, and to provide the basis for the selection and optimization of intervention mode of hypertension community. The relevant documents in Chinese biomedical literature database are selected in strict accordance with the established inclusion and exclusion criteria. According to the results of heterogeneity test, the combined effect value is calculated by using the random effect model. Meta analysis was carried out on the overall effect of comprehensive intervention in hypertension community, and subgroup analysis was carried out in urban and rural areas, south of the Yangtze River and north of the Yangtze River, respectively. The results were included in 14 papers. Meta-analysis results showed that, The combined effect value of hypertension intervention was 0.64 / 95 CI: 0.60 / 0.68, the difference was statistically significant, and the combined effect values of urban and rural areas were 0.66 and 0.57, respectively. The difference was statistically significant (P 0.001); in the south of the Yangtze River and north of the Yangtze River, the combined effect was significant. The values were 0.63 and 0.64, respectively, and the difference was statistically significant (P 0.001). Conclusion in China (urban or rural), The comprehensive intervention of hypertension in the south or north of Yangtze River has definite effect.
【作者单位】：福建医科大学公共卫生学院卫生法学与卫生政策学系;福建省漳州市医院医务科;福建医科大学附属协和医院第十九病区;福建医科大学公共卫生学院预防医学系;
【基金】：福建省教育厅中青年教师教育科学项目(JAS150259) 福建医科大学“环境与健康重点实验室”新技术研究与应用项目(201506)
【分类号】：R544.1

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