惠州市良井镇农村人群高血压10年随访分析

A 10-year follow-up analysis of hypertension in rural population in Liangjing Town,Huizhou

目的调查惠州市惠阳区良井镇农村人群高血压患病率的变化及防治现状,分析10年的干预措施是否有效,探讨农村地区高血压的远期防治措施和管理策略。方法于2005年,对惠州市良井镇两个自然村15岁以上农村居民进行高血压流行及防治状况调查,并进行为期10年的随访。比较并分析随访前后受调查者的血压水平,以了解干预措施的效果,同时观察不良心脑血管事件发生率以及预后情况。结果10年后随访,248例高血压患者好转216例,好转率为87.10%。10年后随访收缩压(SBP)和舒张压(DBP)较2005年时均有明显下降,差异有统计学意义(P<0.05)。10年后随访,不良心血管事件发生率为11.68%(29/248),不良脑血管事件发生率为8.87%(22/248),死亡率为2.42%(6/248)。结论10年后随访,惠州市良井镇受调查的农村高血压患者干预后,患病率有明显下降,平均血压水平也有明显降低,但也出现了一定的不良心脑血管事件,有患者因此死亡的现象。

Objective To investigate the changes in the prevalence and prevention of hypertension among rural populations in Liangjing Town,Huiyang District,Huizhou City,an to analyze whether the 10-year intervention measures are effective,and explore long-term prevention and management strategies for hypertension in rural areas.Methods In 2005,a survey was conducted on the prevalence and prevention of hypertension among rural residents over 15 years old in two natural villages in Liangjing Town,Huizhou City,and a 10-year follow-up was conducted.Compare and analyze the blood pressure levels of the subjects before and after follow-up to understand the effects of intervention measures,and observe the incidence of adverse cardiovascular and cerebrovascular events and prognosis.Results After 10 years of follow-up,216 cases of the 248 patients with hypertension improved,the improvement rate was 87.10%.After 10 years,the follow-up results indicated that the systolic blood pressure(SBP)and diastolic blood pressure(DBP)were significantly lower than that in 2005,and the difference was statistically significant(P<0.05).10 year letter,the follow-up showed that the incidence of adverse cardiovascular events was 11.68%(29/248),the incidence of adverse cerebrovascular events was 8.87%(22/248),and the mortality rate was 2.42%(6/248).Conclusions After 10 years,the prevalence and average blood pressure of the rural hypertensive patients under investigation in Liangjing Town,Huizhou City were significantly reduced after intervention,but there were also certain adverse cardiovascular and cerebrovascular events,some patients hence the phenomenon of death.