某社区老年人高血压流行病学特征及治疗现状  

EPIDEMIOLOGICAL CHARACTERISTICS AND THERAPY STATUS OF THE ELDERLY WITH HYPERTENSION IN A KAIFENG COMMUNITY

作　　者：卢洁[1] 卢大雷 葛军[1] 张柯[1] 

机构地区：[1]开封市医学科学研究所,475000

出　　处：《现代预防医学》2003年第6期764-766,共3页Modern Preventive Medicine

摘　　要：目的 :研究开封某社区老年人高血压的流病学特征 ,探讨高血压的治疗现状及控制水平。方法 :对西司社区1857例 55岁及以上的老年人进行横断面流行病学调查。结果 :155岁及以上人群中高血压现患率 62 .12 % ;知晓率 67.3 3 %、治疗率 3 5.3 7%、控制率 13 .75% ;单纯收缩期高血压占 58.87% ;2级、 3级高血压患者分别占总数的 3 1.0 2 %和 11.40 %。与对照组比高血压组脉压差增高 ,体重指数升高 ,心率增快 ,均 P<0 .0 5。 2规律服药的 3 0 1例患者中 ,用单药降压的占41.2 0 % ,两种及以上药联用的占 58.80 % ;用长效、中效、短效制剂的分别为 2 1.2 6%、 2 5.2 5%、 3 9.53 %。控制率分别为53 .12 %、 3 5.52 %、 3 7.81%。 3吸烟史、肥胖、一级亲属高血压史、快心率、糖尿病史、一级亲属中风史为高血压发病危险因素 ;高血压患者中脑卒中、冠心病及眼底出血的发病率明显增高 ,均 P<0 .0 5。结论 :社区老年人高血压发病及控制状况有其显著的人群特征 。Objective:To investigate the epidemiological c haracteristics of the elderly with hypertension in Kaifeng Residential Area,to explore the therapy and control status Methods:A cross-sectional survey was used i n the elderly aged 55 and older in Xisi community Results: ①The prevalence rate of hypert ension in the eld erly was 62 12%, the awareness rate, the treatment rate and the control rate wa s 67 33%, 35 37% and 13 75% respectively The rate of sole systolic hypertens ion was 58 87% Ra tes of patients with hypertension in degree1, degree 2 and degree 3 was 43 87%, 31 02% and 11 40% respectively Compared with the control group, heart rate a nd BMI in hypert ension group was higher, P <0 05 ②During 301 patients who took drugs regu larly, 41 20% patients took only one antihypertensive drug and others takes two or mor e Rates of patients taking long effective drugs, middle effective drugs and sh o r t effective drugs were 21 26%,25 25%,39 53% respectively and control rates wa s 53 12%, 35 5 2% and 37 81% respectively ③Smoking, obesity, hypertension history of firs t d egree relative, higher heart rate,diabetes and stroke history of first degree r elative were risk factors of hypertension The incidences of stroke, cardiocasc u lar disease, and funds hemorrhage were significantly higher during patients with hypertension, P <0 01 Conclusion:The prevalence of hypert ension in the elderly h as its significant characteristics And the prevention, therapy and management of patients and high risk people must be comprehensively carried out

关 键 词：老年人 高血压 流行病学 危险因素 社区卫生服务 

分 类 号：R544.1[医药卫生—心血管疾病]