1183例高血压患者血压控制状况的调查分析

Investigation and analysis of blood pressure control effects in 1183 hypertensive patients

目的了解义安区高血压患者血压控制情况及影响因素,评价基本公共卫生均等化服务项目高血压患者管理效果,为进一步做好高血压患者管理提供建议。方法选择农村1个乡镇和城区1个卫生服务站,对其正在管理的高血压患者进行问卷调查并测量血压。结果共调查1 183名高血压患者,血压控制率41.8%;BMI<24组的血压控制率高于BMI≥24组,差异有统计学意义(P<0.05);服高血压药物的血压控制率高于未服高血压药物的;年龄<50岁的血压控制率低于年龄≥50(P<0.05),参加锻炼者与未参加锻炼者相比,血压得到更好的控制(P<0.05)。结论铜陵市义安区高血压患者血压控制工作有待进一步加强,年龄、吸烟、是否服药等是影响血压控制的重要因素。

Objective To understand the control situation and influence factors of blood pressure in patients with hypertension in Yi＇an area,evaluate the management effect of hypertension patients in the basic public health equalization service,and provide suggestions for further improving the management of hypertension patients. Methods A sample survey was performed in a township health center in rural area and an urban health service station,and hypertensive patients were investigated with questionnaire and their blood pressure was measured. Results This study included 1183 patients with hypertension. The control rate of hypertension was 41. 8%. Those whose BMI〈 24 had a higher control rate of hypertension compared to those whose BMI≥24,and the difference was statistically significant（ P〈0. 05）. Those who were taking high blood pressure medication,aged ≥50years and participating in exercise also had higher control rate of hypertension,and the differences were statistically significant（ P〈0. 05）. Conclusion Taking high blood pressure medication or not,Smoking,and age were important impacts to blood pressure control. Blood pressure control in patients with hypertension needs to be further strengthened in Yi＇an district of Tongling city.