辽宁省城乡居民高血压和Ⅱ型糖尿病患者随访服务现状分析

Follow-up service for urban and rural residents with hypertension or type Ⅱ diabetes in Liaoning province

目的了解城乡居民高血压和Ⅱ型糖尿病患者随访服务现状。方法收集2013年辽宁省城乡居民健康档案信息并进行整理,对高血压和Ⅱ型糖尿病随访服务及用药情况进行分析。结果高血压和Ⅱ型糖尿病随访服务中,农村地区高血压随访服务人数（64.14%）高于城市（35.70%）;农村地区高血压随访用药仅服用1种者占53.23%,不用药者占39.30%;农村地区Ⅱ型糖尿病随访服务人数（52.03%）高于城市（47.84%）,农村地区Ⅱ型糖尿病随访服药仅用1种者占51.69%,不用药者占42.39%;高血压和Ⅱ型糖尿病患者以41-65岁为主,7-17岁有早发高血压和Ⅱ型糖尿病倾向。结论在高血压和Ⅱ型糖尿病随访服务中,农村随访人数高于城市,农村用药人数低于城市,7-17岁有早发高血压和Ⅱ型糖尿病倾向。

Objective To examine the status of follow-up service for urban and rural residents with hypertension or type Ⅱ diabetes. Methods Data on medication and follow-up of 373 187 hypertension and 108 699 type Ⅱ diabetes patients were extracted from health records of 4 210 870 urban and rural residents in two prefectures of Liaoning province in 2013 and analyzed. Results Of the all hypertension patients followed-up,64. 14% were in rural communities and35. 70% in urban communities; of the hypertension patients in rural communities,53. 23% took only one type of antihypertension drug and 39. 30% had no antihypertension medication at all. Of all the type Ⅱ diabetes patients followed-up,52. 03% were in rural communities and 47. 84% in urban communities; of the type Ⅱ diabetes patients in rural communities,51. 69% took only one type of drug for medication and 42. 39% had no medication. The majority of hypertension and type Ⅱ diabetes patients followed-up were at the ages from 41 to 65 years old; a total of 278 hypertension patients and 117 type Ⅱ diabetes patients were aged 7- 17 years,suggesting a tendency of early incidence of hypertension and type Ⅱ diabetes.Conclusion More rural community hypertension and type Ⅱ diabetes patients were followed-up than urban commuity patients but the ratio of having medication for the two diseases was lower among rural community patients than among the urban patients and there may be a tendency for early incidence of the two diseases among residents in Liaoning province.