城区中老年高血压患者生活方式现状

STUDY ON THE CURRENT STATUS OF THE LIFE STYLE OF URBAN MIDDLE AND OLD AGE PATIENTS WITH HYPERTENSION

[目的]了解城区中老年高血压患者的生活方式现状。[方法]采用自行设计的问卷对城区45岁以上562例愿意配合的中老年高血压患者进行问卷调查。[结果]吸烟159例,患病后戒烟65例(占40.89%),饮酒122例,患病后戒酒32例(占26.23%)。日摄盐少于6g者406例(占80.24%)。荤素搭配对血压的控制率比较χ2=6.912,P﹤0.05。运动对血压的控制率比较差异有统计学意义(χ2=25.654,P﹤0.001)。能否控制情绪对血压的控制率比较χ2=11.139,P﹤0.001。体重指数(BMI)与舒张压呈正相关r=0.160,P﹤0.05,与腹围呈显著正相关r=0.721,P﹤0.001,与年龄呈负相关r=-0.145,P﹤0.05。吸烟、饮酒对收缩压及舒张压的影响呈正相关P﹤0.001,运动对血压的影响呈负相关,P﹤0.001。[结论]不良的生活方式会影响高血压患者血压的控制率,所以不良生活方式、行为的转变是非常重要的非药物治疗手段。

[Objective] To investigate the urban middle and old age patients with hypertension＇s life style. [Methods] By serf-designed questionnaires, 562 patients with hypertension above the age of 45 years who were willing to coordinate were investigated with questionnaires. [ Results] 159 smokers, 65 patients quitting smoking after suffering from hypertension accounted for 40.89%. 122 cases Drank wine or liquor, and 32 eases quitting drinking after getting disease accounted for 26.23%. 406 patients ate salt with less than 6 Gram （ accounted for 80.24%）. Meat and vegetarian dishes could significantly control the blood pressure （X2 = 6.912. P 〈 0.05）. Movement also had significant control the blood pressure （X2= 25.654, P〈 0.001）. Whether these patients could control the blood pressure had significantly positive difference （X2 = 11.139, P 〈 0.001 ）. Body weight index （BMI） had significantly positive correlation with diastolic pressure （r = 0.160. P 〈 0.05）, and negative correlation with the abdomen circumference （r = 0.721, P〈 0.001 ） and age （r = -0.145. P〈 0.05）. Smoking, drinks wine or liquor had significantly positive correlation with the systolic pressure and diastolic pressur （P 〈 0.001 ）, while the movement assumes had significantly negative correlation with the blood pressure （P〈 0,001 ）. [ Conclusion] Bad life style can affect the control rate of patients with hypertension＇s blood pressure. Therefore, bad life style and the behavior transformation are the extremely important non-medicine treatment method.