2021年重庆市巴南区农村地区高血压患者血压控制现状调查  

Investigation on blood pressure control of hypertension patients in rural areas of Banan District,Chongqing,2021

作　　者：余兰英[1] 陶小红[1] YU Lanying;TAO Xiaohong(Banan District Center for Disease Control and Prevention,Banan 401320,Chongqing,China.)

机构地区：[1]重庆市巴南区疾病预防控制中心,重庆401320

出　　处：《职业卫生与病伤》2023年第3期142-146,179,共6页Occupational Health and Damage

基　　金：重庆市巴南区科研项目“巴南区农村地区基于家庭医生签约服务干预模式下高血压患者健康管理效果评价”(项目编号:2020-18)。

摘　　要：目的了解重庆市巴南区农村地区≥35岁高血压患者的血压控制现状,为制定相关防治策略和措施提供科学依据。方法按照城乡地域分布,2021年在巴南区23个镇街中抽取4个镇为农村地区项目点。在4个项目点随机抽取2020年纳入国家基本公共卫生服务管理的≥35岁高血压患者2000人,对其开展问卷调查和体格检查。采用SPSS 21.0软件统计对数据进行χ^(2)检验、趋势χ^(2)检验。检验水准为α=0.05。结果共调查高血压患者2000人,有效调查1997人,有效率99.85%。巴南区农村地区≥35岁高血压患者血压控制率为55.23%;不同地区间血压控制率的差异有统计学意义(χ^(2)=198.35,P<0.001),控制率最高的为石龙镇(77.60%),最低的为南彭街道(36.00%);男女间血压控制率差异无统计学意义(χ^(2)=0.22,P=0.64);随着年龄的增长,血压控制率总体呈下降趋势(χ^(2)_(趋势)=24.87,P<0.001),血压控制率最高的为35~44岁年龄组(85.71%),最低的为65~74岁年龄组(50.18%);家庭年均收入>3万元组较家庭年均收入≤3万元组血压控制率高,差异有统计学意义(χ^(2)=45.21,P<0.001)。1997名在管高血压患者中,接受药物治疗的有1488人(74.51%);非药物治疗者有309人(15.47%);未治疗者有200人(10.02%)。高血压患者未治疗的主要原因是觉得没有症状或者能够忍受(57.00%);其次为经济原因(37.00%)。结论重庆市巴南区农村地区≥35岁高血压患者血压控制率取得一定提高,但与国内部分地区相比,仍然存在差距。应结合本地农村特征,创新、优化高血压患者健康管理模式,强化患者规范管理要重点关注老年人、低收入水平高血压患者,以减少高血压并发症和死亡的发生。Objective To understand the current situation of blood pressure control of hypertension patients≥35 years old in rural areas of Banan district of Chongqing,and to provide scientific basis for formulating relevant prevention and control strategies and measures.Methods According to the geographical distribution of urban and rural areas,4 towns and streets were selected from 23 towns and streets in Banan district as project sites in rural areas.About 2000 hypertension patients≥35 years old,who were included in the national basic public health service management in 2020,they were be randomly selected from 4 project sites for questionnaire survey and physical examination.SPSS 21.0 statistical software was used to analyze the dataχ^(2) inspection and trendχ^(2) inspection.The test level wasα=0.05.Results A total of 2000 patients with hypertension were investigated,and 1997 people were effectively investigated,with an effective rate of 99.85%.The blood pressure control rate of hypertension patients≥35 years old in rural areas of Banan district was 55.23%;There was a significant difference in blood pressure control rate among different regions(χ^(2)=198.35,P<0.001),with the highest in Shilong Town(77.60%)and the lowest in Nanpeng sub district(36.00%);There was no significant difference in blood pressure control rate between male and female(χ^(2)=0.22,P=0.642);With the increase of age,the overall blood pressure control rate showed a downward trend(χ^(2)_(趋势)=24.87,P<0.001).The highest blood pressure control rate was in the 35~44 age group(85.71%),and the lowest was in the 65~74 age group(50.18%);Among different income levels,the difference of blood pressure control rate was statistically significant(χ^(2)=45.21,P<0.001).The blood pressure control rate of the group with average annual income more than 30000 yuan was higher than that of the group with average annual income less than 30000 yuan,and the difference was statistically significant(P<0.001).Among the 1997 patients with hypertension in the tube,148

关 键 词：农村地区 高血压 血压控制 调查研究 

分 类 号：R544.1[医药卫生—心血管疾病]