高血压性脑梗死患者合并糖尿病和高脂血症及其疾病知晓率和控制率的现状  

Awareness and control rates of diabetes and hyperlipidemia in hypertensive cerebral infraction patients

作　　者：欧翠玲[1] 吴婵婵[2] 敖友爱[1] 莫苗苗[3] 李玲[4] 万丽红[2] Ou Cuiling;Wu Chanchan;Ao Youai;Mo Miaomiao;Li Ling;Wan Lihong(Department of Neurology,the Third Affiliated Hospital,Sun Yet-san University,Guangzhou510630,China;School of Nursing,Sun Yet-san University,Guangzhou510089,China;Department of Neurology,Guangdong Provincial Hospital of TCM,Guangzhou510120,China;Department of Neurology,the First Affiliated Hospital,Sun Yet-san University,Guangzhou510080,China)

机构地区：[1]中山大学附属第三医院神经内科,广东广州510630 [2]中山大学护理学院,广东广州510089 [3]广东省中医院神经内科,广东广州510120 [4]中山大学附属第一医院神经内科,广东广州510080

出　　处：《现代临床护理》2017年第10期25-30,共6页Modern Clinical Nursing

基　　金：广东省科技计划社会发展领域课题;项目编号为2016A020215039

摘　　要：目的了解并分析高血压性脑梗死患者合并糖尿病、高脂血症的情况以及患者对高血压、糖尿病、高脂血症的知晓率及疾病治疗率及控制率现状。方法选择238例高血压性脑梗死患者,测量患者的入院血压、血糖和血脂,同时采用问卷调查患者的知晓率和了解其治疗率及控制率。结果238例高血压性脑梗死患者中79.41%患者入院时血压异常,高血压知晓率、治疗率、控制率分别为74.79%、67.23%、20.59%,其中10.11%明知有高血压病却从不用降压药;有32.35%患者合并糖尿病,其糖尿病知晓率、治疗率、控制率分别为79.22%、62.34%、12.99%,其中21.31%明知患有糖尿病却从不用降糖药;有81.51%患者合并高脂血症,其高脂血症知晓率、治疗率、控制率分别为23.20%、6.70%、1.55%,其中71.11%患者明知血脂高却从不用降脂药。结论 79.41%高血压性脑梗死患者发病时血压异常;分别有32.35%和81.51%的高血压性脑梗死患者合并糖尿病和高脂血症,28.57%的高血压脑梗死患者同时合并糖尿病和高脂血症;患者对高血压、糖尿病、高脂血症的知晓率、治疗率及控制率较低。加强患者对控制脑卒中危险因素重要性的认识,同时为患者制订个性化用药方案以提高治疗率,进而达到改善危险因素控制率以预防复发的最终目的。Objective To explore the prevalence of diabetes and hyperlipidemia in cerebral infraction patients with hypertension and look into the rates of awareness,treatment and control.Methods Blood pressure,blood glucose and blood lipids were measured in238cerebral infraction patients with hypertension.Meanwhile,the rate of awareness,treatment and control of hypertension,diabetes and hyperlipidemia were investigated by questionnaire.Results Among79.41%of the patients had abnormal blood pressure and cerebral infaction on admission,the rates of awareness,treatment and control of hypertension were74.79%,67.23%,20.59%.10.11%of them never took antihypertensive drugs in spite of their awareness of hypertension.32.35%of the patients were combined with diabetes,the rates of awareness,treatment and control were79.22%,62.34%,12.99%respectively,and among them21.31%never tookantidiabetic drugs in spite of awareness of diabetes.81.51%of the patients were combined with hyperlipidemia,the rates of awareness,treatment and control were23.20%,6.70%,1.55%respectively,and among them71.11%never took lipid-lowering drugs with awareness of high blood lipid.Conclusions79.41%of the incidence of cerebral infraction was related to abnormal blood pressure.32.35%cerebral infarction patients with hyperlipdemioa are complicated with hypertension diabetes;81.51%are complicated with28.57%cerebral infraction patients with hypertension were complicated with diabetes and hyperlipidemia as well,but the rate of awareness,treatment and control were relatively low.In order to improve the secondary prevention,we should pay more attention to the stroke risk factors,and help make the individualized medicine-taking plan to improve the control rate.

关 键 词：高血压 脑梗死 糖尿病 高脂血症 治疗 

分 类 号：R587.1[医药卫生—内分泌] R589.2[医药卫生—内科学] R743.33[医药卫生—临床医学]