老年高血压患者危险因素分析及干预措施探讨  

Analysis on risk factors and community control measures among senium patients with primary hypertension

作　　者：田华伟[1] 刘盛元 郑南[1] 孙艳[1] 马宁[1] 

机构地区：[1]广东医学院附属福田医院,广东深圳518033 [2]深圳市南山区慢性病防治院,广东深圳518000

出　　处：《中国医药科学》2013年第5期76-77,87,共3页China Medicine And Pharmacy

摘　　要：目的探讨老年高血压患者的危险因素,为制定合理的社区干预措施及开展预防工作提供依据。方法采取病例对照研究,选取入住本院的720例老年原发性高血压患者为病例组,选择同期在本院体检中心进行常规查体的860例血压正常的健康人为对照组。结果病例组吸烟、饮酒、肥胖及超重、食盐量>6g/d、高血糖、高血脂及家族高血压史的暴露率均高于对照组,病例组小学及以下文化程度患者所占比例高于对照组,差异有统计学意义(P<0.05)。结论老年高血压的危险因素有文化程度小学及以下、吸烟、饮酒、肥胖及超重、食盐量>6g/d、高血糖、高血脂及家族高血压史。针对危险因素,采取综合性的社区防治措施,保持健康饮食,加强运动是预防与控制高血压的有效措施。Objective To investigate the related risk factors and community control measures among senium patients with hypertension and to provide basis for making community control and prevention measures. Methods A retrospective case-control study was conducted.720 cases of senium hypertension patients in the hospital were selected as case group and other 860 cases of people who accepted physical examination in our hospital were with normal blood pressure were selected as control group. Results Exposure rates of smoking, drinking, obesity or overweight,daily salt more than 6 g,hyperglycemia,hyperlipidemia and family hypertension history in case group were obviously higher than those of control group and the proportion of patients with culture degree under primary school in the case group was higher than those in the control group（P 〈 0.05）. Conclusion Smoking,drinking,obesity or overweight,daily salt more than 6 g,hyperglycemia,hyperlipidemia and family hypertension history were risk factors of hypertension. Comprehensive intervention measures related to the risk factors,such as keeping a healthy diet and strengthening the movement,were important to prevent and control hypertension.

关 键 词：高血压 危险因素 防治措施 

分 类 号：R544.1[医药卫生—心血管疾病]