患有代谢综合征的高血压患者血压达标及影响因素  

Blood pressure control and influencing factors in hypertension patients with metabolic syndrome

作　　者：方欣[1] 钟文玲 俞玲[2] 杨泽 林修全[1] 陈铁晖[1] Fang Xin;Zhong Wen ling;Yu Ling;Yang Ze;Lin XiiLquan;Chen Tiehui(Department of Chronic and Non-communicable Disease Prevention and Control Fujian Provincial Center for Disease Control and Prevention,Fuzhou 350001,China;Department of Cardiology,Fujian Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福建省疾病预防控制中心慢性病防治科,福州350001 [2]福建省立医院心内科,福州350001

出　　处：《中华流行病学杂志》2020年第9期1514-1517,共4页Chinese Journal of Epidemiology

基　　金：国家卫生健康委员会重大公共卫生服务项目;福建省科技创新平台建设项目(2019Y2001)。

摘　　要：目的了解患有MS的高血压患者的血压达标情况及其影响因素。方法2017年1月至2018年12月,通过心血管病高危人群早期筛查与综合干预项目在福建省采用方便抽样法邀请7.8万名35~75岁常住居民参与筛查,完成体格及实验室检查,将其中具有高血压组分的5281名MS患者纳入研究。结果患有MS的高血压患者中高血压治疗率为55.5%,达标率为7.2%。具有高龄、女性、高文化程度、心血管病史及家族史的患者血压达标率更高。多因素分析结果显示,城乡、心血管病史、糖尿病、尿蛋白、BMI等变量对高血压的治疗和达标均有影响。心血管病家族史、年龄、自我管理小组、血脂异常、腰围、饮酒对治疗,性别对达标有影响。结论患有MS的高血压患者血压治疗率不理想、达标率较低,在干预工作中应重点关注乡镇、男性、低龄群体,坚持定期开展高血压自我管理小组活动。Objective To investigate the blood pressure control and its influencing factors in hypertension patients with MS.Methods Between January 2017 and December 2018,more than 78000 residents aged 35-75 years selected through convenient sampling were invited to participant in China Patient-Centered Evaluative Assessment of Cardiac Event Million Persons Project in Fujian province,physical and laboratory tests were conducted for them,and their basic information were recorded.A total of 5281 hypertension patients with MS were included in the study.Results The treatment rate of hypertension patients with MS was 55.5%,and the control rate was 7.2%.The control rate was higher in patients who were older,women,had advanced education level,had history or family history of cardiovascular disease.The results of multivariate analysis indicated that living area(urban or rural),cardiovascular history,diabetes,urine protein,BMI had impacts on both treatment and control of hypertension.Family history of cardiovascular disease,age,self-management of hypertension,dyslipidemia,waist circumference and drinking had impacts on the treatments,and gender had effects on the control.Conclusions The treatment rate of hypertension patients with MS was unsatisfactory and the control rate was low.Intervention should be strengthened in rural area,males and young age groups,and activity of self-management group of hypertension should be conducted regularly.

关 键 词：代谢综合征 高血压 达标 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病] R589[医药卫生—内科学]