部队干休所老年冠心病患者二级预防情况调查

Survey on secondary prevention in aged patients with coronary heart disease in army sanatoriums

目的调查北京地区部队干休所老年冠心病患者二级预防情况。方法采用横断面调查方式,入选干休所老年冠心病患者249例。采集患者合并高血压、高脂血症及降压、调脂、抗血小板用药情况。采用电子血压计检测患者血压水平,采用酶法测定血清总胆固醇(TC)、三酰甘油(TG)以及低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)。分析患者血压、血脂达标及用药情况。结果 249例老年冠心病患者平均年龄(84.4±3.33)岁。89.2%的患者合并高血压,97.7%的患者血压达标,其中94.6%的患者服用了降压药物。93.4%的患者TC达标,边缘升高5.6%;94.0%的患者LDL-C达标,边缘升高4.8%,高LDL-C血症患者1.2%;76.7%的患者TG达标,边缘升高13.7%,高TG血症患者9.6%;38.5%的患者HDL-C正常,低HDL-C血症患者23.7%,高HDL-C血症患者37.8%。4.0%的患者表现为单项血脂指标异常;24.3%的患者表现为两项血脂指标异常;89.6%的患者服用了调脂药物。85.5%的患者服用了抗血小板药物,其中73.2%的患者服用阿司匹林,19.2%的患者服用波利维。结论部队干休所老年冠心病患者合并高血压的比例高,患者药物依从性好,血压达标率高;血脂指标控制较好,高胆固醇血症发生率低;抗血小板药物使用率较高。

Objective To survey the situation of secondary prevention in aged patients with coronary heart disease （CHD） in army sanatoriums in Beijing area. Methods The aged patients with CHD （n=249） were chosen from sanatoriums by using cross-section study method. The data of complicating hypertension and hyperlipidemia, and administration of drugs of anti-hypertension, blood lipid regulation and antiplatelet were collected from the patients. The levels of TC, TG, LDL-C and HDL-C were detected by using enzyme method, and blood pressure （BP）, blood lipid attainment and drug administration were analyzed. Results The average age of 249 aged CHD patients was （84.4 ±3.33） years old. There were 89.2%patients with complicating hypertension, 97.7%patients up to standard BP and among them 94.6%treated with anti-hypertension drugs. There were 93.4%patients up to standard TC level and 5.6%with borderline high TC. There were 94.0%patients up to standard LDL-C level, 4.8%with borderline high LDL-C and 1.2%with high LDL-C. There were 76.7%patients up to standard TG and 13.7%with borderline high LDL-C. There were 9.6%patients with high TG, 38.5%with normal HDL-C, 23.7%with low HDL-C and 37.8%with high HDL-C. There were 4.0%patients with single abnormal lipid index and 24.3%with 2 abnormal lipid indexes. There were 89.6%patients took lipid regulation drugs, 85.5%took antiplatelet drugs and among them 73.2%took aspirin and 19.2%took Polivy. Conclusion The proportion of patients with hypertension is higher in CHD patients in army sanatoriums, and they have higher medication compliance, higher BP standardizing rate, higher control rate of blood fat, lower incidence of hyperlipidemia and higher usage rate of antiplatelet drugs.