高血压住院患者情况分析

Analysis of Inpatients with Hypertension

目的:探讨住院高血压患者情况及其影响因素。方法:采用回顾性研究方法,研究住院高血压患者的一般情况、影响因素、治疗情况。结果:住院患者院外规律服药的患者只有21.44%。多元线性逐步回归分析发现,住院患者院外规律服药的患舒张压变异的56.7%可由低密度脂蛋白、院外用药情况、院外规律用药情况解释(校正的R2 = 0.567)。相关并发症中,冠心病42.32%、脑血管病33.76%、糖尿病33.76%、眼底病变13.93%、周围动脉血管病9.84%。患者中继发性高血压为33.87%,发病率最高的为肾实质性高血压42.86%。高血压患者中服用最多的药物为钙离子阻滞剂69.76%。高血压患者入院血压达标率仅为9.47%,经住院治疗后,24小时血压达标率明显升高达27.82%。结论:住院高血压患者院外服药依从性较低,合并并发症重,经有效住院治疗后,血压达标率较高。

Objective: To investigate the situation of hospitalized hypertension patients and its influencing factors. Methods: Retrospective study was used to study the general situation, influencing factors and treatment of hospitalized hypertension patients. Results: Only 21.44% of inpatients took drugs regularly outside the hospital. There are 56.7% of diastolic blood pressure variation in inpatients taking off-hospital medication that could be explained by LDL, off-hospital medication and off-hospital medication (adjusted R2 = 0.567), through making multiple linear stepwise regression analysis. Among the related complications, coronary heart disease was 42.32%;peripheral arterial vascular disease was 9.84%;diabetes was 33.76%;fundus disease was 13.93%;and cerebrovascular disease was 33.76%. The secondary hyperemia was 33.87%, and the highest incidence was renal essential hypertension of 42.86%. Calcium blockers (69.76%) were the most commonly used drugs in patients with hypertension. The blood pressure compliance rate of hypertensive patients in hospital was only 9.47%. After hospitalization, the blood pressure compliance rate in 24 hours significantly increased to 27.82%. Conclusion: The compliance of patients with hypertension outside hospital is low and the complication is serious. After effective hospitalization, the blood pressure compliance rate is higher.