某社区高血压患者房颤患病情况调查  

Investigation on the Prevalence of Atrial Fibrillation in Hypertensive Patients in a Community

作　　者：张辉映 张培 黄斌 邹嘉艳 Zhang Huiying;Zhang Pei;Huang Bin;Zou Jiayan(Gonghexinlu Community Health Care Center,Shanghai 200070,China)

机构地区：[1]上海市静安区共和新路街道社区卫生服务中心,上海200070

出　　处：《健康教育与健康促进》2024年第4期409-411,共3页Health Education and Health Promotion

基　　金：上海市中西医结合学会科研基金(2020-04)。

摘　　要：目的对某社区高血压患者的房颤发生情况进行筛查,了解高血压合并房颤患者的血液生化指标以及吸烟、运动等行为情况。方法对1001例社区高血压患者开展心电图房颤筛查,将筛查中发现的高血压合并房颤患者作为研究组,同时选择相同例数的无房颤高血压患者作为对照组,比较两组患者的一般资料、血糖、血脂、肾功能水平,以及吸烟和运动情况。结果在高血压患者中共筛查出高血压合并房颤患者163例,筛查率为16.28%。高血压合并房颤患者的血清葡萄糖、总胆固醇、甘油三酯均高于对照组(P<0.05);合并房颤患者的吸烟率和不运动比例均高于对照组患者(P<0.05)。结论高血压合并房颤患者的血清葡萄糖、总胆固醇、甘油三酯水平高于普通高血压患者,并且吸烟率和不运动比例均较高,应对此类人群加强健康管理。Objective To screen the incidence of atrial fibrillation in hypertensive patients in a certain community,and to understand the blood biochemical indicators,smoking and exercise behavior of hypertensive patients with atrial fibrillation.Methods Electrocardiogram atrial fibrillation screening was conducted on 1 o01 patients with hypertension in the community.The patients with hypertension and atrial fibrillation found during the screening were selected as the study group,while same case hypertension patients without atrial fibrillation were selected as the control group.The general information,blood glucose,blood lipids,renal function levels,smoking and exercise status of the two groups of patients were compared.Results A total of 163 patients with hypertension and atrial fibrillation were screened,with a screening rate of 16.28%.The serum glucose,total cholesterol,and triglycerides in patients with hypertension and atrial fibrllation were all higher than those in the control group(P<0.05);the smoking rate and proportion of non exercise in patients with atrial fibrillation were higher than those in the control group(P<0.05).Conclusion The serum glucose,total cholesterol,and triglyceride levels of patients with hypertension and atrial fibrillation are higher than those of ordinary hypertension patients,and the smoking rate and non exercise ratio are also higher.Therefore,health management should be strengthened for this population.

关 键 词：社区 高血压 房颤 

分 类 号：R544.1[医药卫生—心血管疾病] R541.75[医药卫生—内科学]