深圳市福田区22家社区健康服务中心高血压患者现状分析  

Status analysis of patients with hypertension in 22 community health centers of Shenzhen Futian District

作　　者：许文敏 张新霞[1] 伍贵富[1] 

机构地区：[1]深圳市第四人民医院心内科,广东深圳518033

出　　处：《北京大学学报（医学版）》2014年第6期859-862,共4页Journal of Peking University:Health Sciences

摘　　要：目的:了解深圳市福田区社区高血压患者血压控制情况,分析影响血压控制的相关因素。方法:选取深圳市福田区社区健康服务中心登记在册的10 020名高血压患者为研究对象,通过调查问卷、体格检查、实验室检测等方法获得基线资料。结果:调查对象的平均血压为142/86 mm Hg(1 mm Hg=0.133 k Pa),男性的血压均值高于女性,差异有统计学意义(142/86 mm Hg vs.140/85 mm Hg,ZSBP=-6.14,ZDBP=-9.93,P<0.001),收缩压随年龄增长而上升。总体的血压控制率为40.2%,不同性别、体质指数、腰围的人群血压控制率有差别。使用单种降压药的人数最多,占54.4%。回归分析发现,性别、年龄、腰围、高脂血症和吸烟是影响血压控制的主要因素。结论:本社区血压控制率偏低,高血压患者常合并多种影响血压控制的因素,在对患者进行降压治疗的同时应重视对这些因素的控制。Objective：To investigate current situation of blood pressure control in patients with hypertension in 22 community health centers of Shenzhen Futian District,and to find out related factors which affect blood pressure control.Methods：In the study,10 020 cases with essential hypertension that had been registered in 22 Community Health Centers were selected as cases for the survey.The questionnaires,physical examinations,and laboratory tests were used to obtain the patients＇ baseline data.Results：The mean blood pressure （median） levels were 142/86 mmHg （1 mmHg =0.133 kPa）.Those of the males were higher than those of the females （142/86 mmHg vs.140/85 mmHg,ZSBP =-6.14,ZDBP =-9.93,P ＜ 0.001）,the systolic blood pressure increased with age.The overall blood pressure control rate was 40.2％.The blood control rates were different with different gender,body mass index （BMI） and waist circumference.The majority of the patients took single antihypertensive drug,and the proportion accounted to 54.4％.Regression analysis showed that gender,age,hyperlipidemia,smoking,and waist circumference were the main factors that affected blood pressure control.Conclusion：The blood control rate was low in these communities.Patients with high blood pressure often merge a variety of factors that affect blood pressure control,and at the same time of antihypertensive therapy for the patients,we should pay attention to the control of these factors.

关 键 词：高血压 横断面研究 社区卫生中心 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]