摘要
日的研究多种可能因素对农村高血压预后的影响。方法对农村高血压患者发生心脑血管事件或死亡进行回顾性队列研究，用Cox比例风险回归模型分析影响高血压预后的主要因素。结果高血压患者易发生心脑血管疾病的主要因素是摄盐过多（OR=2．511）与未使用长效型降压药（OR=184．558）；发生心脑血管事件后，再次发生该事件或死亡的主要因素是对控制疾病缺乏正确认知（0R=8．725）与降压药的消费水平过低（0R=1．526）。整个病程发展过程中，摄盐过多与缺乏认知是最主要的预后因素。结论应有针对性地根据不同阶段的主要影响因素制定合理的公共卫生慢病控制方案。
Objective To explore the possibility factors affecting hypertension prognosis. Methods Using historical cohort study, then the Cox pro- portional hazards regression model was use to assess the relative factors. Results Taking the important cardio--cerebral events ,the regularity ab- sorbs the salt excessively when the persistent effect stable isn＇t given are the main risk factors. After the important cardio--cerebral events, if pa- tients knew little about Hypertension, or kept a low medicine consumption level, RHD of death increased; In the whole process, the regularity ab- sorbs the salt excessively and little knowledge about Hypertension are the hazardous factors of the long--term prognosis of Hypertension. Conclusion The developed model is valuable in controlling Hypertension and it may be useful to guide to choose emphasis points in different stage of Chronic ill- ness natural history.
