浙江省三市老年高血压患者血压控制状况及相关因素分析

The analysis of current situation of hypertension control and its influencing factors among geriatric patients in Hangzhou, Jiaxing and Shaoxing in Zhejiang province

目的了解浙江省杭州、嘉兴以及绍兴三市老年高血压患者血压控制情况以及影响血压控制的相关因素。方法2010年10月至2011年4月纳人浙江省60岁及以上的老年高血压患者10644例，对其进行问卷调查、体格检查和相关实验室检查，探讨血压控制情况及相关因素。结果本研究高血压患者血压控制率为38．6％，标准化后为27．6％。结果显示血压控制与女性、居住城市、受教育程度高、规律运动呈现正相关，而与高龄、吸烟、高盐饮食以及腹型肥胖呈负相关，其中规范化治疗与血压控制密切相关。结论浙江省杭州、嘉兴、绍兴三市60岁及以上老年高血压患者血压控制状况仍不容乐观，针对相关因素开展高血压防治规范化管理工作具有实际价值。

Objective From October 2010 to explore the current situation of hypertension control and its influencing factors among geriatric patients in Hangzhou, Jiaxing and Shaoxing in Zhejiang province. Methods To April 2011, 10 644 geriatric patients aged 60 years and over were included, and related questionnaire survey, physical examination and laboratory examination were carried out. The situation of hypertension control and influencing factors were analyzed. Results The control rate of hypertension was 38.6 %, and its standardized rate was 27.6%. It showed that female, inhabited city, high level of education degree and regular exercise were positively correlated with hypertension control, while age, smoking, high salt diet and abdominal obesity were negatively correlated with hypertension control, and standardized treatment had a close relationship with hypertension control. Conclusions The situations of hypertensive control among geriatric patients in Hangzhou, Jiaxing, Shaoxing in Zhejiang province are still unsatisfactory. Strengthening standardization management measures for improving the control rate of hypertension is needed and has actual value.