摘要
目的观察北京市社区中老年居民高血压发病情况,探讨药物干预对高血压患者的治疗效果。方法选择2013年11月-2014年4月在社区医疗中心进行健康体检的中老年居民684例,进行问卷调查及相关体格检查。受检者中高血压患者196例,随机分为对照组(健康教育)及干预组(药物干预+健康教育),观察干预前后血压控制情况及终点事件发生情况。结果 684例受检者中高血压患病率为28.65%,其中51岁以上者高血压患病率较高,高血压患者体质量指数明显高于非高血压者(P<0.05);196例高血压患者平均随访18个月,失访率为2.55%(5/196),干预后两组患者血压明显降低,干预后药物干预组血压明显低于对照组(P<0.05),药物干预组血压控制率明显高于对照组(P<0.05),药物干预组脑卒中发生风险低于对照组,但无统计学差异(P>0.05)。结论高血压发病率受年龄、体质量指数等因素影响,根据患者具体情况进行药物干预可有效控制患者血压水平,有助于降低心脑血管疾病发生风险。
Objective To study the incidence of hypertension in the elderly population in a community in Beijing and to determine the effect of drug intervention in patients with hypertension. Methods 684 cases of elderly residents who came to a community health center for health examinations between November 2013 and April 2014 were selected. These residents were given questionnaires and received related physical examinations. 196 patients with hypertension were randomly divided into the control group( health education) and intervention group( drug intervention + health education). Blood pressure and endpoint events were observed before and after intervention.Results The incidence of hypertension among the 684 cases of subjects was as high as28.65%,especially among those over 51 years of age. The body mass index of hypertensive patients was significantly higher than that of non-hypertensive people( P〈0.05). The average follow-up for 196 patients with hypertension was 18 months,and the rate of loss to follow-up was 2.55%( 5/196). Blood pressure was reduced after intervention,especiallyin the drug intervention group( P〈0.05). Blood pressure in the drug intervention group was under better control than in the control group( P〈0.05),and the risk of stroke was also lower,but with no significant difference( P〈0.05). Conclusion The results show that the incidence of hypertension is affected by such factors as age and body mass index. Drug intervention can effectively control blood pressure and cardiovascular disease risks based on the specific conditions of patients.
出处
《解放军预防医学杂志》
CAS
2017年第8期902-904,共3页
Journal of Preventive Medicine of Chinese People's Liberation Army
关键词
高血压
发病率
药物干预
hypertension
morbidity
drug intervention