安徽中部地区人群高血压状况及用药分析

Analysis of the hypertension state and medicine usage of staff in the middle of Anhui

目的:了解安徽中部地区企事业单位高血压患者的血压控制状况及用药情况。方法:采用随机整群抽样的方法,选取2008-08月在安徽省立医院健康体检中心体检的41家企事业单位职工2019例,现场测量血压,并进行高血压患病及用药情况问卷调查。结果:高血压患者共计599例,患病率为29.7%。85例血压<140/90mmHg(1mmHg=0.133kPa),控制率为14.2%;血压≥140/90mmHg中青年职工人群以舒张压未控制以及舒张压和收缩压均未控制为主。高血压患者中服药184例,48例血压<140/90mmHg,服药率和服药控制率分别为30.7%、26.1%;服药患者中64.5%使用单一降压药物治疗,24.4%使用复方制剂,11.1%使用联合治疗;服用率较高降压药物为钙拮抗剂(53.5%)和复方制剂(27.3%),β受体阻滞剂(3.5%)和利尿剂(1.7%)服用率较低。结论:安徽中部地区单位职工高血压发病率较高而服药率和控制率较低,且用药方案与《中国高血压防治指南》要求存在一定差距,建议加强这一人群的健康干预以及基层医师的继续教育。

Objective：To investigate the blood pressure （BP） and medicine state of hypertension patients in en terprise and public institution in the middle area of Anhui Province. Method：Two thousand and nineteen staffs from 41 enterprise and public institutions were selected by using random cluster sampling method to have blood pressure mesurement and survey in terms of BP state and medicine usage when they had routine physical examination in Medical Examine Center of Anhui Provincial Hospital. Result： Among the participants, 599 （29.7%） were diagnosed hypertension. Eighty-five staff＇s BP were lower than 140/90 mmHg and the control rate was 14.20%. Focused on the young and middle-aged staff whose BP were higher than 140/90 mmHg,most of their sustainded systolic blood pressure （SBP） were uncontrolled, or both their SBP and sustainded diastolic blood pressure （DBP） were uncontrolled. 184 of the hypertension patients took medicine, and 48 of them kept their BP lower than 140/ 90 mmHg. The rates of medication and BP control were 30.7% and 26. lY0 respectively. Detailedly, 64.50//00 of the patients took single hypertensive drug, 24.4% took compound preparation, and only 11.1% used combination therapy. Calcium antagonists （53.5%） and compound preparation （27.3%） were common used, whereas 13 block ers （3.50%） and diuretics （1.7%） were less used. Conclusion：In the middle of Anhui province, the prevalence of hypertension among staff is relatively high, however, the rates of medication and controll are low. There is a certain gap between their medicine usage and the requirment of The Hypertension Management Guidelines. It is suggested that interventions should be strengthened to this population and continuing education be promoted in basiclevel doctors