缺血性脑卒中二级预防中高血压防治的现状及其影响因素

Status and influencing factors of secondary prevention of ischemic stroke in patients with hypertension

目的调查分析海南省缺血性脑卒中二级预防中高血压的防治现状及影响因素。方法选择合并高血压的缺血性脑卒中患者586例,调查患者入院时降压治疗的情况,采用单因素及多因素Logistic回归分析,寻找影响患者降压治疗的独立危险因素。结果患者降压治疗知晓率77.1%,治疗率56.0%,达标率21.3%,受到健康教育的患者血压达标率较未受健康教育的患者高(P<0.001),多因素Logistic回归分析显示,教育程度、健康教育、医保类型、医生建议服药、高血压病史是影响患者降压治疗的独立危险因素(P<0.05)。结论海南省缺血性脑卒中患者二级预防中高血压的降压治疗知晓率、治疗率、达标率低,临床医生需按指南对患者进行健康教育并建议患者服药。

Objective To investigate the status of hypertension preventing in secondary prevention of ischemic stroke in Hainan province of China and identify the influencing factors. Methods 586 ischemic stroke patients who met the conditions were enrolled in the study. Antihypertensive therapy status of the patients were investigated. Univariate analysis and multivariate logistic regression analysis were performed to find the independent risk factors. Results Patients’ awareness rate for antihypertensive therapy was 77.1%, treatment rate was 56.0% and control rate was 21.3%. Control rate of the patients who received health education was higher than those who didn’t（P〈0.001）. Multinomial logistic regression analysis showed that education, health education, type of medical insurance, recommendation of taking medicines from doctors and history of hypertension were influencing factors（P〈0.05）. Conclusion Patients’ awareness rate, treatment rate and control rate of antihypertensive therapy are low in ischemic stroke patients in Hainan province. Clinical doctors should strengthen health education in ischemic stroke patients and recommend them to take medicines.