叶县人民医院体检人群高血压现患率调查分析及干预策略  

Investigation and analysis of prevalence rate and intervention strategies of hypertension among physical examination population in the people's hospital of Ye county

作　　者：张帆[1] ZHANG Fan(Xiangya School of Medicine,Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅医学院,湖南长沙410013

出　　处：《临床医学研究与实践》2022年第15期4-7,21,共5页Clinical Research and Practice

摘　　要：目的探讨叶县人民医院体检人群高血压患病率、危险因素及干预状况。方法选取2021年7月20日至8月19日于叶县人民医院进行体检的600名人员进行调查分析。统计所有体检人员的基本资料,分析其高血压发生情况(将214例高血压患者记为研究组,386名健康人群记为对照组)及在不同年龄段人员中的分布情况,探讨影响高血压发生的危险因素。结果两组的性别、文化程度比较,差异无统计学意义(P>0.05);两组年龄、BMI、饮酒、吸烟、高血压家族史情况比较,差异具有统计学差异(P<0.05)。青年组高血压患者占比为9.50%,低于中年组、老年组的44.89%、56.16%。多因素Logistic回归分析结果显示,年龄、饮酒、吸烟、高血压家族史是高血压发生的独立危险因素(P<0.05)。214例已知有高血压的患者中有148例(69.16%)正在进行干预,其中使用西医药物治疗的有84例(56.76%),主要降压药物种类为1种45例(53.57%),2种31例(36.90%),3种及以上8例(9.52%),托拉塞米、氨氯地平和氯沙坦为本研究中高血压患者使用最多的药物种类;仅进行生活方式改善(戒烟、戒酒、减少钠盐摄入、活动以及体育锻炼)的有34例(22.97%);使用中药治疗的有30例(20.27%)。结论年龄、饮酒、吸烟、高血压家族史是临床发生高血压的主要危险因素,所以在临床干预中应当对以上因素进行严密的监测。临床上主要是以西药、中药以及生活方式改善等保守治疗手段对高血压进行干预。Objective To investigate the prevalence,risk factors and intervention state of hypertension among physical examination population in the people's hospital of Ye county.Methods A total of 600 people who underwent physical examination in the people's hospital of Ye county from July 20 to August 19,2021 were selected for investigation and analysis.The basic data of all the physical examination population were collected,the occurrence of hypertension(214 patients with hypertension were recorded as study group,and 386 healthy people were recorded as control group)and its distribution in people of different ages were analyzed,and the risk factors affecting the occurrence of hypertension were discussed.Results There were no significant differences in gender and educational level between the two groups(P>0.05);there were significant differences in age,BMI,drinking,smoking and family history of hypertension between the two groups(P<0.05).The proportion of hypertension patients in the youth group was 9.50%,which was lower than 44.89% and 56.16% in the middle-aged group and the elderly group.Multivariate Logistic regression analysis result showed that age,drinking,smoking and family history of hypertension were independent risk factors for hypertension(P<0.05).Among 214 known hypertension patients,148 cases(69.16%)were undergoing intervention,among which 84 cases(56.76%)were treated with western medicine,forty-five cases(53.57%)were treated with 1 type of antihypertensive drugs,31 cases(36.90%)were treated with 2 types of antihypertensive drugs,and 8 cases(9.52%)were treated with 3 or more types of antihypertensive drugs,torasemi,amlodipine and losartan were the most used drugs in the hypertension patients of this study;thirty-four cases(22.97%)only underwent lifestyle improvement(quit smoking,quit alcohol,reduce sodium and salt intake,activities and physical exercise);thirty cases(20.27%)were treated with traditional Chinese medicine.Conclusion Age,drinking,smoking and family history of hypertension are the main risk facto

关 键 词：高血压 现患率 干预策略 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]