深圳市罗湖区35~74岁高血压患者血压控制现状及其影响因素分析  

Status and influencing factors of blood pressure control among 35–74 years old community hypertensive patients in Luohu district of Shenzhen,2019

作　　者：罗奇 王箭 程蕊容 黄建凤[2] 李建新 鲁向锋[2] 林锦春 LUO Qi;WANG Jian;CHENG Rui-rong(Management Center of Community Health Service,Shenzhen Luohu Hospital Group,Shenzhen,Guangdong Province 518000,China;不详)

机构地区：[1]深圳市罗湖医院集团社康管理中心,广东518000 [2]国家心血管病中心中国医学科学院阜外医院流行病研究部中国医学科学院心血管流行病学重点实验室

出　　处：《中国公共卫生》2022年第3期309-313,共5页Chinese Journal of Public Health

基　　金：深圳医疗卫生三名工程(SZSM201601069);国家重点基础研究发展计划(2017YFC0907101)。

摘　　要：目的了解广东省深圳市罗湖区35~74岁高血压患者血压控制现状及其影响因素,为提高高血压患者的健康管理效果提供参考依据。方法于2019年2月采用分层随机抽样方法在深圳市罗湖医院集团所属31家社区健康服务中心中抽取10家社区健康服务中心1205例高血压患者进行问卷调查、体格检查和实验室检测。结果深圳市罗湖区1205例35~74岁高血压患者中,控制血压者618例,血压控制率为51.3%;多因素非条件logistic回归分析结果显示,男性高血压患者的血压控制率为女性高血压患者的0.762倍(OR=0.762,95%CI=0.603~0.963),本地户籍高血压患者血压控制率为外地户籍高血压患者的1.379倍(OR=1.379,95%CI=1.088~1.748),规律服用降压药高血压患者血压控制率为非规律服用降压药高血压患者的1.598倍(OR=1.598,95%CI=1.173~2.177),每年体检高血压患者血压控制率为非每年体检高血压患者的1.578倍(OR=1.578,95%CI=1.221~2.040)。结论深圳市罗湖区35~74岁高血压患者血压控制率相对较高,性别、是否本地户籍、是否规律服用降压药和是否每年体检是该地区高血压患者血压控制的主要影响因素。Objective To investigate the condition and impact factors of blood pressure control among 35-74 years old hypertension patients in Luohu district,Shenzhen city of Guangdong province and to provide evidences to improve health management of the patients.Methods Using stratified random sampling,we recruited 1205 hypertension patients aged 35-74 years at 10 community health service centres affiliated to Shenzhen Luohu Hospital Group.Face-to-face surveys with a self-designed questionnaire,physical examination and laboratory tests were conducted among the patients during February 2019.Results Of all the patients,618(51.3%)had their blood pressure well-controlled.The results of unconditional multivariate logistic regression analysis showed that the patients with following characteristics were more likely to have well-controlled blood pressure:with locally registered permanent residence(odds ratio[OR]=1.379,95%confidence interval[95%CI]:1.088-1.748),taking antihypertensive medication regularly(OR=1.598,95%CI:1.173-2.177),and having a physical examination every year(OR=1.578,95%CI:1.221-2.040);the results also revealed that male patients were less likely to have well-controlled blood pressure(OR=0.762,95%CI:0.603-0.963)compared to female patients.Conclusion Among 35 to 74 years old community hypertension patients in Luohu district of Shenzhen city,the blood pressure control rate was relatively high and was mainly influenced by gender,whether having local household registration,whether having antihypertensive medication regularly and whether taking a physical examination every year.

关 键 词：高血压 血压控制 影响因素 

分 类 号：R195.4[医药卫生—卫生统计学]