北京市丰台区部分社区脑卒中高危人群高血压患者血压达标现状及影响因素分析  

Controlled rate of blood pressure and its influencing factors in the population of high stroke risk with hypertension in some communities in Beijing

作　　者：贾蓓[1] 张志辰[2] 张允岭[2] 

机构地区：[1]北京中医药大学,100029 [2]北京中医药大学东方医院脑病二科

出　　处：《中国心血管杂志》2015年第4期295-298,共4页Chinese Journal of Cardiovascular Medicine

基　　金：2011年医改重大专项"脑卒中高危人群筛查及干预试点"项目;2011年北京市科技计划项目(Z111107056811040);2010年中医药行业科研专项项目(201007002)~~

摘　　要：目的调查北京市丰台区脑卒中高危人群中高血压患者的血压达标现状及其影响因素。方法采用横断面临床流行病学调查方法对北京市丰台区蒲黄榆社区、王佐镇、花乡、方庄街道40岁以上的脑卒中高危人群进行调查,以登记符合脑卒中高危人群入选标准的高血压患者为研究对象,共收集有效高血压患者资料5 834例,记录其人口学特征、血压控制情况及相关伴发疾病的患病率(高血压患者伴发疾病的患病情况)。结果 5 834例高血压患者的血压总体达标率为52.72%(3 076/5 834),单因素分析时,血压达标组与未达标组间差异有统计学意义的因素包括年龄、体质指数、腰围、年龄构成、体质指数构成、性别、职业、文化程度、饮酒和吸烟。高血压患者伴发疾病中,血脂异常、糖尿病、脑卒中的患病率最高,分别为62.22%(3 630/5 834)、31.35%(1 829/5 834)和15.79%(920/5 834)。多因素Logistic回归分析显示,女性、正常体质指数为血压控制的保护性因素,高龄、脑力劳动为影响血压控制的不利因素。结论北京市丰台区部分社区脑卒中高危人群中高血压患者血压总体达标率为52.72%。血压达标的保护因素为女性和正常体质指数。Objective To investigate the blood pressure controlled rate and its related factors in the high risk population of stroke with hypertension in some communities in Beijing. Methods In this cross- sectional epidemiological survey, 5 834 patients of hypertension with high risk of stroke were recruited from residents in Fangzhuang street, Wangzuo town, Huaxiang and Puhuangyu. They were 40 years and over who meet the inclusion criteria of high risk of stroke population. The demographic characteristics, blood pressure controlled conditions and prevalence of concomitant disease of all patients were documented. Results The controlled rate of blood pressure was 52.72%. Single-factor analysis showed that there were significant differences between the blood pressure controlled group and uncontrolled group in indicators as follows： age, body mass index （BMI）, waist circumference, proportion of age or BMI, gender, job, educational level, alcohol drinking and smoking. The frequencies of lipid disorders [ 62. 22% （ 3 630/5 834 ） ], diabetes mellitus [31.35% （ 1 829/5 834） ] and stroke [ 15.79% （921/5 834） ] were the highest diseases among all complicated hypertension in this population. Multiple logistic regression analysis suggested that female gender and normal BMI were the protective factors of controlled rate among all the variables in selected subjects. Conclusions The controlled rate of blood pressure in these hypertension outpatients is 52. 72%. Female gender and normal BMI are protective factors of control rate.

关 键 词：高血压 卒中 达标率 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]