社区医疗机构冠心病患者β受体阻滞剂应用及心率控制情况研究  

Study on use ofβ-blocker and resting heart rate control among patients with coronary disease in community medical institutions

作　　者：王成桓 王宏艳 刘玉江[3] 赵凤梅 姜岳 Wang Chenghuan;Wang Hongyan;Liu Yujiang;Zhao Fengmei;Jiang Yue(Department of General Practice,Beijing Yangfangdian Hospital,Beijing 100038,China;Taiyanggong Community Health Service Center,Chaoyang District,Beijing 100028,China;Gaobeidian Community Health Service Center,Chaoyang District,Capital Medical University,Beijing 100124,China;Yayuncun Community Health Service Center,Chaoyang District,Beijing 100101,China;Department of General Practice,the First Hospital of Tsinghua University,Beijing 100016,China)

机构地区：[1]北京市羊坊店医院全科医学科,北京100038 [2]北京市朝阳区太阳宫社区卫生服务中心,北京100028 [3]首都医科大学北京市朝阳区高碑店社区卫生服务中心,北京100124 [4]北京市朝阳区亚运村社区卫生服务中心,北京100101 [5]清华大学第一附属医院全科医学科,北京100016

出　　处：《中华全科医师杂志》2022年第12期1169-1173,共5页Chinese Journal of General Practitioners

基　　金：首都卫生发展科研专项项目(2018-3-7034)。

摘　　要：采用横断面研究,选取2019年3—9月到北京市朝阳区和海淀区10家社区卫生服务中心门诊就诊的1052例冠心病患者为研究对象,收集患者基本信息、病史、心血管病危险因素、β受体阻滞剂使用、身高、体重、血压水平以及静息心率等信息,采用logistic回归分析心率控制影响因素。冠心病患者年龄(66.7±9.5)岁,男性563例(53.5%)。β受体阻滞剂使用率为43.6%(459/1052)。静息心率(70±8)次/min,14.5%(153/1052)心率控制达标。使用β受体阻滞剂者静息心率控制率为17.9%(82/459),高于未使用此药物者[12.0%(71/593),χ^(2)=7.23,P=0.007]。适量休闲活动有助于静息心率的控制(OR=2.14,95%CI:1.26~3.62)。北京社区卫生机构就诊冠心病患者β受体阻滞剂使用及静息心率控制均处于低水平,即使服用β受体阻滞剂的患者静息心率也未得到良好控制。A cross-sectional study was conducted on 1052 patients with coronary heart disease(CHD)who visited 10 community health service centers in Chaoyang and Haidian districts of Beijing from March 2019 to September 2019.Basic information,medical history,cardiovascular risk factors,β-blocker use,height,weight,blood pressure level and resting heart rate were collected by face-to-face interview;biochemical tests and on-site physical examination were performed;and the influencing factors of heart rate control were analyzed by logistic regression.There were 563 males(53.5%)and 489 females(46.5%),with a mean age of(66.7±9.5)years.The rate ofβ-blockers use was 43.6%(459/1052).The average resting heart rate was(70±8)/min,and only 14.5%(153/1052)patients had the heart rate under control.The resting heart rate control rate in patients withβ-blockers use was 17.9%(82/459),higher than that of those withoutβ-blockers use[12.0%(71/593),χ^(2)=7.23,P=0.007].Moderate leisure activities were beneficial to the control of resting heart rate(OR=2.14,95%CI:1.26-3.62).The study shows thatβ-blockers use and resting heart rate control in CHD patients in Beijing community health institutions were both at low levels,and the resting heart rate was not well controlled even in patients taking beta-blockers.

关 键 词：冠心病 静息心率 高血压 Β受体阻滞剂 

分 类 号：R541.4[医药卫生—心血管疾病]