重庆地区高血压合并ASCVD患者的门诊血压达标相关因素分析

Analysis on factors related to standard-reaching rate of outpatient blood pressure control of ASCVD patients accompanied with hypertension in Chongqing

目的了解重庆地区高血压合并动脉粥样硬化性心血管疾病(ASCVD)患者血压达标率,并进一步分析其影响因素。方法选择2015年6—12月重庆市周边区县二级医院门诊合并ASCVD的高血压患者1 242例。通过调查问卷采集信息,对可影响血压控制效果的因素进行单因素分析和多因素logistic回归分析。结果 1 242例合并ASCVD的高血压患者中,606例(53.6%)门诊血压达标。多因素logistic回归分析显示,高龄、文化程度较高、服用β受体阻滞剂、进行家庭自测血压是影响合并ASCVD的高血压患者门诊血压控制情况的独立危险因素(P<0.05)。结论高龄、文化程度高的患者血压控制情况较好,进行家庭自测血压的患者血压控制率高。

Objective To understand the standard-reaching rate of blood pressure control of atherosclerotic cardiovascular diseases（ASCVD）patients accompanied with hypertension in Chongqing,and further analyze its related influencing fac-tors.Methods A total of 1 242 ASCVD patients accompanied with hypertension from the second-class hospitals at the countylevel around Chongqing from June to December 2015 were selected.Information was collected by questionnaire,and single fac-tor analysis and multi-factor logistic regression analysis were conducted on factors which might influence the blood pressurecontrol effect.Results Among of 1 242 ASCVD patients accompanied with hypertension,the outpatient blood pressure of 606 cases（53.6%）reached the standard.The multi-factor logistic regression analysis indicated that the patients who were elderly,high educational level,and took β receptor retardant,with home blood pressure measurement were independent dangerous factorsaffecting the outpatient blood pressure control of hypertension patients accompanied with ASCVD（P0.05）.Conclusion Theblood pressure control of patients who are elderly and high educational level are good,and with home blood pressure measure-ment has higher control rates of blood pressure.