高校社区老年原发性高血压患者血压控制影响因素分析  

Analysis on the influencing factors of blood pressure in the elder with essential hypertension from the communities of colleges and universities

作　　者：徐艳[1] 吴磊[1] 陈镜伊[1] 张欣[1] 侯良[1] 刘月圆[1] 陶雪琴[1] 黄河浪[1] 

机构地区：[1]南昌大学公共卫生学院流行病学教研室,江西南昌330006

出　　处：《中华疾病控制杂志》2013年第6期503-506,共4页Chinese Journal of Disease Control & Prevention

摘　　要：目的了解高校社区老年原发性高血压患者血压控制现状及其血压控制的影响因素。方法采用容量比例概率抽样方法(probability proportion to size,PPS),采用自行设计的调查问卷,对研究对象实施现场调查。结果 377例老年高血压患者的血压控制理想率为47.75%;多因素非条件Logistic回归分析显示,单纯收缩性高血压(isolated systolic hypertension,ISH)、高血压家族史、饮食偏咸、合并疾患数目多、病程长是老年原发性高血压控制理想的不利因素,而体育锻炼和规律服用降压药则是其有利因素。结论应加强个体化用药和规律服药的意识,同时积极采取合理膳食、体育锻炼等非药物治疗,努力提高老年高血压患者的控制率。Objective To understand the influencing factors of blood pressure in the intellectual elder with essential hypertension from colleges and universities.Methods The sampling method of probability proportion to size was used.The field investigation was implemented in participants by self-designed questionnaire.Results The ideal blood pressure control rate of in 377 elderly patients with essential hypertension was 47.75%.Multi-factor unconditioned Logistic regression analysis indicated that isolated systolic hypertension（ISH）,family history of hypertension,high salt diet,accompanied with more disorders and along disease course were negative factors of the blood pressure control in the elder with essential hypertension;while physical exercise and taking medicine regularly were favorable factors.Conclusions The consciousness of personalized medicine and taking medicine regularly should be strengthened;meanwhile,non-drug therapies including rational diet,physical exercise and so on must be taken actively in order to make great efforts to improve the blood pressure control in elderly hypertensive.

关 键 词：老年人 高血压 影响因素 控制率 

分 类 号：R544.1[医药卫生—心血管疾病]