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Strict medication guidance and lifestyle interventions to manage blood pressure (BP) in hypertensive patients are typically difficult to follow. To evaluate the 1-year effectiveness of lifestyle and drug intervention in the management of rural hypertensive patients. Randomized community intervention trial. The control group comprised 967 patients who received standard antihypertensive drug intervention therapy from two communities, whereas the intervention group comprised 1945 patients who received antihypertensive drug and lifestyle inte