社区原发性高血压患者诊治情况的现况调查

Survey of present status of diagnosis and treatment of essential hypertension in communities

目的探讨我国基层地区原发性高血压患者诊治状况的特征。方法 采用以社区为基础的多中心协作的方式,对6509例原发性高血压患者进行现况调查分析。结果 约50％的患者具有2—3个以上的危险因素,可控制的危险因素吸烟、高血脂和肥胖的比例分别是23.4％,28.1％和56.4％。合并心绞痛和脑卒中的比例分别为13.3％和21.4％。治疗与未治疗的患者血压水平无显著差异。既往一直治疗的高血压患者中仅有6.82％的血压水平达到目标水平。降压药物以国产复方制剂和短效降压药物为主,药物联合治疗方案以国产复方制剂和短效钙拮抗剂的联合最多。结论在社区高血压患者中有必要增强对高血压知识的宣传教育,加强基层医生培训,普及高血压防治指南。切实提高对高血压的治疗率和控制率。

Objective To survey the diagnostic and therapeutic conditions of essential hypertension in communities of China.Methods Community-based multi-center survey was used to analyze a total of 6 509 patients with essential hypertension. Results About 50% of the patients had two to three risk factors and the rates of controllable factors such as smoking, hyperlipidemia and obesity were 23.4% , 28.1% and 56.4% respectively. The proportion of patients with complications of angina and stroke were 13.3% and 21.4% respectively. There was no any significant difference between patients with or without treatment. Only 6.82% of the patients achieved the target blood pressure level after treatment. The most commonly used antihypertensive drugs were domestic compound agents and short-acting antihypertensives. Most combined prescriptions were domestic compound agents and short-acting calcium antagonists. Conclusions It is necessary to carry out hypertension education, strengthen the training of doctors at the basic level with hypertension prevention and control guidelines to improve the rates of treatment and control of hypertension really.