老年高血压患者血压控制不良的病例对照研究  

A case-control study on poor blood pressure control in elderly hypertensive patients

作　　者：杨景文 潘桂楷 陈镇雄 吴桂豪 庄李华 郜文秀 刘如晨 陈珏通 YANG Jingwen;PAN Guikai;CHEN Zhenxiong;WU Guihao;ZHUANG Lihua;GAO Wenxiu;LIU Ruchen;CHEN Juetong(Shaoguan University,Shaoguan 512026;Shaoguan First People's Hospital,Shaoguan 512026,China)

机构地区：[1]韶关学院,512026 [2]韶关市第一人民医院,512026

出　　处：《中国老年保健医学》2024年第3期79-85,共7页Chinese Journal of Geriatric Care

基　　金：省级大学生创新创业训练计划项目资助(编号:S202310576027)。

摘　　要：目的探讨老年高血压患者血压控制不良的相关危险因素,为老年高血压患者的健康管理提供针对性策略。方法采用病例对照研究方法,选取2023年9月至12月在韶关市第一人民医院心血管内科住院治疗的老年高血压患者作为研究对象,对其进行问卷调查并记录体格检查情况。病例组为血压控制未达标患者,即收缩压≥140mmHg且(或)舒张压≥90mmHg;对照组为血压控制达标患者,即收缩压<140mmHg且舒张压<90mmHg。病例组163例,并按年龄(±3岁)、性别进行频数匹配对照组163例。通过单因素及二元Logistic回归分析患者血压控制不良的影响因素。结果高血压等级为2级、3级是老年高血压患者血压控制不良的危险因素;睡眠正常、规律服药、用药规范、间断或每天监测血压、定期进行健康体检为老年高血压患者血压控制不良的保护因素。结论保持优质睡眠、及时监测血压和健康体检、做到规律服药及用药规范能够帮助患者有效控制血压。Objective To explore the related risk factors of poor blood pressure control in elderly hypertensive patients,and to provide targeted strategies for the health management of elderly hypertensive patients.Methods A case-control study was conducted,selecting elderly hypertensive patients as the research subjects who were hospitalized in the Cardiology Department of the First People's Hospital of Shaoguan City from September to December 2023,at the same time,the questionnaire surveys were conducted and the physical examinations were recorded.The case group consists of individuals whose blood pressure was not well controlled,with systolic blood pressure≥140mmHg and/or diastolic blood pressure≥90mmHg.The control group consists of individuals with blood pressure within normal range,with systolic blood pressure<140mmHg and diastolic blood pressure<90mmHg.A total of 163 cases were included in the case group,and were frequency-matched with 163 cases in the control group based on age(±3 years)and gender.Univariate and binary logistic regression analyses were used to identify factors influencing poor blood pressure control in elderly hypertensive patients in Shaoguan City.Results Binary logistic regression analysis showed that hypertension grades 2 and 3 were the risk factors for poor blood pressure control in elderly hypertensive patients.Factors such as normal sleep patterns,regular medication adherence,proper medication usage,intermittent or daily blood pressure monitoring,and regular physical examination were protective factors for poor blood pressure control in elderly hypertensive patients.Conclusion Maintaining good quality sleep,timely blood pressure monitoring and health examination,adhering to regular medication and proper medication usage can help patients effectively control their blood pressure.

关 键 词：老年高血压患者 血压控制不良 病例对照研究 

分 类 号：R544.1[医药卫生—心血管疾病]