江苏省心血管病高危人群中高血压患者血压控制的随访研究

A follow-up study on blood pressure control of patients with high blood pressure in high cardiovascular risk population in Jiangsu Province

目的探讨心血管病高危人群中高血压患者血压随访控制情况,为高血压及心血管病防治提供理论依据和参考。方法选取2016―2019年参与项目的心血管病高危人群中20091名高血压患者作为研究对象,对研究对象进行两次随访。采用广义估计方程对血压控制情况进行分析。结果在心血管病高危人群中,第1次随访血压控制率为37.8%,第2次随访血压控制率为32.8%。吸烟者、城市居民以及受教育程度越高和家庭年收入越高的人群血压越易控制,而高血压知晓者、饮酒者和BMI高者血压均不易得到控制(均有P<0.05)。结论江苏省心血管病高危人群中高血压患者的血压控制水平还有待于提高,应加强重点人群的血压防控工作,且需进行规范化的血压管理和有效的干预措施来提高控制效果。

Objective To investigate the follow-up control of blood pressure in hypertensive patients with a high risk of cardiovascular disease and to provide a theoretical basis and reference for the prevention and treatment of hypertension and cardiovascular disease.Methods A total of 20091 hypertensive patients in the high-risk cardiovascular disease population who participated in the project from 2016 to 2019 were selected as the research subjects.And their blood pressure control was analyzed during two follow-up visits.Blood pressure control was examined by a generalized estimation equation.Results The blood pressure control rate in hypertensive patients with a high risk of cardiovascular disease was 37.8%at the first follow-up,and 32.8%at the second follow-up.Smokers,urban residents,and people with higher education levels and higher annual household income were more likely to have their blood pressure controlled;While those with hypertension awareness,alcohol consumption,and higher BMI were more difficult to control(all P<0.05).Conclusions The blood pressure control level of hypertensive patients in a high-risk population of cardiovascular disease in Jiangsu Province needs to be improved.And the prevention and control of blood pressure in a high-risk population should be strengthened.Standardized blood pressure management and effective intervention measures should be carried out to improve the control effect.