华东地区64万成年人高血压知晓、治疗和控制情况  

Awareness,treatment and control of hypertension in 640000 adults in eastern China

作　　者：严小芳 杨静玮 白雪珂 王浩然 冯芳[1] 侯丽波[1] 孙颖[1] 王文娟 李希[1] Yan Xiaofang;Yang Jingwei;Bai Xueke;Wang Haoran;Feng Fang;Hou Libo;Sun Ying;Wang Wenjuan;Li Xi(National Clinical Research Center for Cardiovascular Diseases,State Key Laboratory of Cardiovascular Disease,National Center for Cardiovascular Diseases,Fuwai Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100037,China;Cardiovascular Institute of Luohe,Luohe Central Hospital,the First Affiliated Hospital,Luohe Medical College,Luohe 462000,China)

机构地区：[1]北京协和医学院,中国医学科学院阜外医院,国家心血管病中心,国家心血管疾病临床医学研究中心,心血管疾病国家重点实验室,100037 [2]漯河市心血管病研究所,漯河市中心医院,漯河医学高等专科学校第一附属医院,462000

出　　处：《中华流行病学杂志》2020年第1期68-73,共6页Chinese Journal of Epidemiology

基　　金：国家重点研发计划(2018YFC1311205);中央财政转移支付地方卫生计生服务项目;心血管病高危人群早期筛查与综合干预项目。

摘　　要：目的描述我国华东地区7个省份35~75岁常住居民高血压的知晓、治疗和控制情况,分析高血压患者降压药物应用模式,探究影响因素。方法使用心血管病高危人群早期筛查与综合干预项目在华东地区采集的数据进行分析,以期获得该地区居民对高血压知晓、治疗和控制率以及高血压药物应用模式,使用多水平混合模型探究高血压知晓、治疗和控制率与高血压患者人群特点的关联。结果华东地区共筛查640539名35~75岁居民,年龄(56.9±9.6)岁,女性占59.7%。检出318741名(49.8%)高血压患者,已检出的高血压患者中,知晓、治疗和控制率分别是46.5%、38.1%和11.1%,存在地区和人群间差异。钙离子拮抗剂为最常用的降压药物(45.1%),78735名(86.2%)患者仅服用了1种药物。年龄大、文化程度高、家庭收入高,以及有心肌梗死、脑卒中及糖尿病病史的患者,高血压知晓、治疗和控制率较高(P<0.05)。结论华东地区整体高血压知晓、治疗和控制率仍然较低,农村和城市之间、各省份间高血压管理差异较大。高血压的预防、筛查和诊疗体系仍需完善。Objective To understand the awareness,treatment,and control of hypertension in residents aged 35-75 years in eastern China,analyze the treatment mode for antihypertensive agents while identifying those factors affecting awareness,treatment and control.Methods The data collected in eastern China from the China Patient-Centered Evaluative Assessment of Cardiac Events(PEACE)Million Persons Project were used to obtain the information about the awareness,treatment and control of hypertension in the residents and the antihypertensive medication treatment mode in this area.Multilevel mixed-effects model was used to explore the association of the demographic characteristics of hypertension patients with the rates of awareness,treatment and control of hypertension.Results A total of 640539 participants aged 35-75 years,mean age(56.9±9.6)years,were included in the analysis,women accounted for 59.7%and 318741(49.8%)of the participants suffered from hypertension.Among those hypertensive patients,46.5%were aware of their condition,38.1%were taking prescribed antihypertensive medications,and 11.1%had achieved the control of hypertension,the differences were significant among provinces,between urban area and rural area and among different demographical groups.Calcium-channel blockers was the most commonly used medication(45.1%),and 78735 hypertension patients(86.2%)took only one type of medication.Older age,higher household income,higher level of education,and histories of myocardial infarction,stroke and diabetes were associated with higher awareness,treatment and control of hypertension(P<0.05).Conclusions The rates of awareness,treatment and control of hypertension were low in residents in eastern China.The differences in hypertension management were significant among provinces and between urban area and rural area.Further efforts are needed to enhance the system of hypertension prevention,screening,diagnosis and treatment.

关 键 词：高血压 知晓率 治疗率 控制率 

分 类 号：R544[医药卫生—心血管疾病]