国家慢性病综合防控示范区居民高血压患病、治疗和管理现状研究  

Current status on prevalence, treatment and management of hypertension among Chinese adults in the National Demonstration Areas for Comprehensive Prevention and Control of Noncommunicable Diseases

作　　者：靳荣荣 张娟 李晋磊 李娟娟[1] 马帅 边峰 邓桂娟 苏夏雯 沈忠周 王宇萍[1] 江宇[1] Jin Rongrong;Zhang Juan;Li Jinlei;Li Juanjuan;Ma Shuai;Bian Feng;Deng Guijuan;Su Xiawen;Shen Zhongzhou;Wang Yuping;Jiang Yu(School of Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China)

机构地区：[1]中国医学科学院/北京协和医学院公共卫生学院,北京100730

出　　处：《中华流行病学杂志》2018年第4期401-406,共6页Chinese Journal of Epidemiology

基　　金：国家卫生和计划生育委员会委托项目

摘　　要：目的 了解国家慢性病综合防控示范区（示范区）居民高血压的患病、治疗和管理情况，为示范区高血压管理提供科学依据。方法 2016年11-12月采用多阶段抽样方法抽取10个示范区4 000名≥ 18岁常住居民，采取问卷调查方式收集信息，分析不同人群的高血压自报患病、治疗、管理现状以及随访满意情况。结果 有效问卷为3 891份。≥ 35岁人群高血压自报患病率为31.47%（1 011/3 213）。在过去2周，高血压自报治疗率为86.75%（877/1 011），且56.87%（575/1 011）得到身体活动指导、40.95%（414/1 011）得到膳食指导、38.33%（385/1 011）得到体重管理指导、22.75%（228/1 011）得到戒烟指导。在过去12个月里，高血压自报管理率为74.68%（755/1 011），自报规范化管理率为62.12%（628/1 011）。社区医生对其随访形式主要是门诊随访（53.51%），其次是入户随访（22.91%）和电话随访（13.64%）。社区医生对患者的随访次数为6（P25~P75：4~12）次，每次随访时间为15（P25~P75：10~20）min。被随访的高血压患者对社区医生随访满意率为94.83%（716/755）。多因素分析结果显示，慢性病管理实施评分较高的示范区高血压自报治疗率（OR=1.986，95% CI：1.222~3.228）、自报规范化管理率（OR=2.204，95% CI：1.519~3.199）均较高。结论 示范区高血压防治和管理工作取得一定成效，已达到＂十二五＂期间示范区创建要求，示范区创建工作对于高血压规范化管理起着积极作用。Objective To investigate the current status of prevalence, treatment, and management on hypertension among Chinese adults from the National Demonstration Areas for Comprehensive Prevention and Control of Non-communicable Diseases. Methods We selected a total of 4 000 residents aged ≥ 18 years for this questionnaire-based survey by multi-stage clustering sampling in 10 National Demonstration Areas between November and December, 2016. Results There were 3 891 effective questionnaires. The self-reported prevalence of hypertension among aged ≥ 35 years was 31.47% （1 011/3 213）. For the past two weeks, the self-reported treatment of hypertension was 86.75%（877/1 011）, with the rates of guidance as 56.87% （575/1 011） on physical activity, 40.95% （414/1 011） on diet, 38.33% （385/1 011） on weight management, and 22.75% （228/1 011） on smoking cessation. For the past 12 months, 74.68% （755/1 011） of the residents aged ≥ 35 years were under the proper management and 62.12% （628/1 011） of them were under the standardized management programs. The follow-up program lasted for 4 （P25-P75：4-12） times per year, with 15 （P25-P75：10-20） minutes per each visit. Hypertensive patients would mainly visit the outpatient clinics （53.51%）, followed by home visits （22.91%） and telephone calls （13.64%）. Rate of satisfaction on management services was 94.83% （716/755） from the hypertensive patients. Multivariate analysis showed that the rate of self-reported treatment （OR=1.986, 95% CI：1.222-3.228） and self-reported standardized management （OR=2.204, 95% CI：1.519-3.199） on hypertension were higher in the Demonstration Areas with higher implementation scores of self-reported non-communicable diseases management. Conclusions Prevention and management on hypertension in the Demonstration Areas had met the requirement set for the Demonstration Areas during the ＂12th Five-Year Plan＂. Projects on setting up the National Non-communicable Diseases Demonstration Areas h

关 键 词：慢性病 国家慢性病综合防控示范区 高血压 治疗 管理 

分 类 号：R544.1[医药卫生—心血管疾病]