延安市脑梗死和短暂性脑缺血发作患者血压控制状况的调查

Cross- sectional study on blood pressure control in patients with cerebral infarction and transient ischemic attacks in Yanan

目的评估延安市脑梗死(cerebral infarction,CI)和短暂性脑缺血发作(transient ischemic attack,TIA)患者血压控制及降压药物的使用状况。方法采用前瞻性连续调查,对延安市在延安大学附院神经内科就诊的CI和TIA患者血压水平及降压药物的使用情况进行调查研究。结果入选560例纳入分析,既往伴有高血压病者395(70.5%)例,血压控制总体达标率为41.0%;伴高血压病不伴糖尿病者血压达标率为44.8%;伴高血压病又伴糖尿病者血压控制达标率为30.8%。伴有高血压者使用降血压药者298例,使用率75.4%。未用降压药者97例,未用率为24.6%。结论延安市脑梗死和短暂性脑缺血发作患者血压控制达标率低,伴糖尿病者血压达标率更低,需加强卒中患者的血压管理,提高血压达标率,降低卒中的复发率。

Objective The present study was to evaluate the current status of blood pressure control and antihypertensive medicine use in patients with cerebral infarction and transient ischemic attacks in Yan＇ an. Methods The cross- sectional survey was performed. The blood pressure and recorded antihypertensive medicine administration in patients with cerebral infarction and transient ischemic attacks were measured at clinics or in hospital. Results 560 patients were recruited,395（ 70. 5%） of them had hypertension. Blood pressure was controlled in 41. 0% of the stroke patients with hypertension. Blood pressure in 44. 8% of the hypertensive patients without diabetes was controlled,whereas that in 30. 8% of the hypertensive patients with diabetes was controled. 298（ 75. 4%） hypertensive patients had an antihypertensive drug; 97 hypertensive patients had no antihypertensive drug,accounting for24. 6%. Conclusion Blood pressure control was poor in patients with cerebral infarction and transient ischemic attacks in Yan＇an,especially in the patients with diabetes. Therefore,the stroke patients should be intensively managed to well control the blood pressure and reduce stroke recurrence.