社区建档的高血压患者动脉粥样硬化性心血管疾病危险分层及血脂达标情况分析  

Analysis on risk stratification of atherosclerotic cardiovascular disease and lipid goal attainment in hypertensive patients registered in community

作　　者：王文静 赵海峰 WANG Wenjing;ZHAO Haifeng(Department of General Practice,Taoranting Community Health Service Center,Xicheng District,Beijing 100054,China;Department of Emergency,Taikang Yanyuan Rehabilitation Hospital,Changping District,Beijing 102299,China)

机构地区：[1]北京市西城区陶然亭社区卫生服务中心全科医学科,北京100054 [2]北京市昌平区北京泰康燕园康复医院急诊科,北京102299

出　　处：《医药前沿》2025年第12期64-67,共4页Journal of Frontiers of Medicine

摘　　要：目的调查陶然亭社区建档的高血压患者动脉粥样硬化性心血管疾病(ASCVD)危险分层与血脂达标情况,为社区血脂管理提供理论依据。方法选取2023年1月—2024年9月于北京市西城区陶然亭社区卫生服务中心建档的高血压患者为研究对象,收集患者一般资料及实验室数据,将患者进行ASCVD危险分层(高危、中危、低危),观察患者血脂达标情况。结果纳入321例高血压患者,男144例,女177例。不同ASCVD危险分层的高血压患者年龄、吸烟、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、非高密度脂蛋白胆固醇(non-HDL-C)、空腹血糖(FPG)情况比较,差异有统计学意义(P<0.05)。高血压患者血脂达标情况:男性患者LDL-C达标率高于女性患者(P<0.05),合并冠心病、糖尿病的患者LDL-C达标率低于未合并冠心病、糖尿病的患者(P<0.05);男性患者non-HDL-C达标率高于女性患者(P<0.05),合并冠心病的患者non-HDL-C达标率高于未合并冠心病的患者(P<0.05);ASCVD高危、中危、低危患者的LDL-C、non-HDL-C达标率比较,差异有统计学意义(P<0.05)。结论高血压患者高危、中危ASCVD血脂达标率偏低,高血压共患病或合并多项危险因素者血脂达标率更低,在今后的高血压管理中应予以重视。Objective To investigate the risk stratification of atherosclerotic cardiovascular disease(ASCVD)and lipid goal attainment status in hypertensive patients registered in Taoranting community,and to provide theoretical basis for community blood lipid management.Methods The hypertensive patients registered at Taoranting Community Health Service Center,Xicheng District,Beijing from January 2023 to September 2024 were selected as the research subjects,the general data and laboratory data of the patients were collected,and the ASCVD risk stratification(high-risk,medium-risk,low-risk)was performed to observe the blood lipid compliance of the patients.Results A total of 321 patients with hypertension were included,144 males and 177 females.There were significant differences in age,smoking,total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C),non-high-density lipoprotein cholesterol(non-HDL-C)and fasting plasma glucose(FPG)among hypertension patients with different ASCVD risk stratification(P<0.05).The LDL-C compliance rate of male patients was higher than female patients(P<0.05),the LDL-C compliance rate of patients with coronary heart disease and diabetes was lower than that in patients without coronary heart disease and diabetes(P<0.05);the non-HDL-C compliance rate of male patients was higher than that of female patients(P<0.05),the compliance rate of non-HDL-C in patients with coronary heart disease was higher than that in patients without coronary heart disease(P<0.05);there were statistically significant differences in LDL-C and non-HDL-C compliance rates among ASCVD high-risk,medium-risk and low-risk patients(P<0.05).Conclusions The blood lipid goal attainment rate in high-risk and moderate-risk ASCVD patients with hypertension is low,and that in patients with hypertension comorbidities or multiple risk factors is even lower.This should be taken seriously in future hypertension management.

关 键 词：社区 建档 高血压 动脉粥样硬化 心血管疾病 危险分层 血脂 达标情况 

分 类 号：R543[医药卫生—心血管疾病]