乡镇脑梗死患者高血压治疗及控制情况的调查分析

Treatment and control of hypertension in patients with cerebral infarction at township level

目的探讨乡镇脑梗死患者高血压治疗及控制情况,为临床诊断提供有价值的依据。方法随机调查分析我县5个乡镇脑梗死患者,共计254例,以问卷调查及血压测量方式来确定高血压治疗情况、控制情况,并统计分析影响高血压治疗和控制的相关因素。结果本研究纳入254例脑梗死患者中,合并高血压172例,98例治疗效果理想,高血压治疗情况与患者文化程度、医疗保险、病情及健康教育状况相关(P<0.05);血压控制与患者文化程度、病情及健康教育情况相关(P<0.05)。结论脑梗死患者高血压的治疗及控制,与医疗保险及健康教育相关,加强医疗保险与健康教育为控制卒中二级的有效途径。

Objective To investigate the treatment and control of hypertension in patients with cerebral infarction at township level and to provide valuable evidence for clinical diagnosis. Methods A total of 254 patients with cerebral infarction from five villages and towns of Lianghe County were randomly surveyed and analyzed using questionnaires and blood pressure measurement to evaluate the treatment and control of hypertension as well as to analyze statistically their influencing factors. Results Of the 254 patients with cerebral infarction, 172 were accompanied by hypertension and 98 had satisfactory chnical outcome. The treatment of hypertension was correlated with education level, medical insurance, state of illness, and health education of the patients （P〈0.05）; the control of hypertension was correlated with education level, state of illness, and health education （P〈0.05）. Conclusion The treatment and control of hypertension in patients with cerebral infarction are correlated with medical insurance and health education, and improvements of medical insurance and health education are effective approaches for the secondary prevention of stroke.