高血压病的社区防治现状及对策

Therapy status of hypertension in community and its treatments

目的研究社区50岁以上人群高血压病的防治现状,针对存在的问题提出行之有效的防治对策。方法从2001年9～10月在本医院参加健康体检的1200多名≥50岁的中国核动力研究设计院的职工(包括离、退休职工)中随机抽取523人为调查对象,采用统一的标准方法测量其坐位右上肢血压,对所有测量和调查结果进行分析总结。结果这些≥50岁职工中高血压病的患病率达32.5%,病情知晓率较好,服药率较低,其中能够正规服药的比例更小,血压有效控制率很低。结论由于高血压病患者对相关知识的认知较差,使得服药率尤其是血压有效控制率很低,从社区防治角度分析其原因并提出解决策略,如健康教育和心理疏导、提高社区医师技术水平、饮食运动等非药物治疗和正规的药物治疗。

Objective To research the therapy status of hypertension patients beyond 50 in community, present the treatments according to existed defects. Methods Drew out 523 samples randomly from more than 1200 NPIC staffs (including retired) beyond 50 years old measured their blood pressure of right upper arm by uniform means, analyze the results of measurement and probe. Results The hypertension patients was 32.5%in all samples, most of them knew their disease, but a few took medicine, fewer of them took medicine correctly, and the efficient control of blood pressure was very bad. Conclusion Because the hypertension patients knew little about correlative information, the rate of taking medicine, especially the control rate of blood pressure is low. After analyzing the reasons from the point of community therapy, we present some treatments, such as non-medical therapy: healthy education, psychology leading, promoting technical level of community physicians, diet, sports and correct medical therapy.