影响上海延吉地区的老年高血压病人治疗状况的研究

Factors affecting the treatment of hypertension in Elderly in the community of Yanji Area of Shanghai

目的 了解老年高血压病人的治疗状况 ,分析影响病人就诊的主要原因 ,为采取针对性的有效措施提供依据。方法 对上海延吉地区 16岁及 16岁以上 5 5 5 6 6人进行问卷调查形式确定高血压者治疗本病情况。结果 6 0及 6 0岁以上为 192 95人 ,高血压 5 842人 ,高血压患病率 30 3% ;16～ 5 9岁为 36 2 71人 ,高血压患病人数 35 36人 ,高血压患病率 9.7%。老年组的未治疗率为 3.1% ,非老年组高达 8.8% ,规则治疗率则呈显相反趋势 ,分别为 5 6 .2 %对 73.7%。多因素分析结果显示影响治疗状况的独立因素为年龄、疾病严重程度、性别。 (P <0 0 1) .结论 当高血压病人在病情较重、年龄较大时才去作规则治疗不利于减少高血压对靶器官损害。在中青年人群中开展高血压知识的宣传 ,对业已发现的病人进行及时规则治疗 ,是降低高血压严重后果的一项重要措施。

Objective\ To evaluate the factors affecting the treatment of old persons diagnosed hypertension. \ Method\ A sample of 55566 persons from the community of Yanji area of Shanghai was recruited. \ Results\ Among the 19295 persons over sixty there are 5842 patients with hypertension, the morbidity was 30 3%. Among the 36271 persons aged fifteen to fifty\|nine there are 3536 patients with hypertension, the morbidity is 9.7%. The ratio of non\|treatment in the old age group is 3.1% and in younger group is 8.8%. However,the compliance to the treatment was better in the younger than in old group(73.7% vs 56.2%). The age,hypertension grade and sex were all accounted for the differences in the regularity of the hypertension treatment. \ Conclusion\ Further effort on the education of non\|old hypertensive patients is essential to decrease the damage from hypertension.