摘要
目的调查心血管病专科门诊高血压患者降压达标和用药的状况。方法采用测量血压和问卷调查相结合的方法。结果①2681例高血压病患者中,男1507例,女1174例,平均年龄为(65±12)岁,平均病程为(12±10)年,平均血压为(136.3±13.9)/(82.5±9.8)mmHg(1mmHg=0.133 kPa)。降压达标率为43.2% (1159/2681例)。②降压达标与未达标者的年龄、病史中最高收缩压(SBP)、病史中最高舒张压(DBP)、病程和体重指数(BMI)的差异均有统计学意义(P值均<0.01)。③降压未达标的患者中,单纯SBP升高者占39.6% (602/1522例),单纯DBP升高者占14.9%(227/1522例),SBP和DBP均升高者占45.5%(693/1522例),3者间年龄、病史中最高SBP、病史中最高DBP、病程、BMI、心血管危险因素分层和有无并发症、合并症的差异均有统计学意义(P值均<0.01)。④服用1种降压药物使血压达标者仅占44.8%。未达标的高血压患者中,0.9%未服药,44.6%仅服1种降压药。结论①上海地区心血管专科门诊的降压达标率为43.2%;②年龄大、基础血压高、病程长和BMI高等因素影响了降压达标,单纯SBP升高患者的血压较难控制;③有较大一部分高血压患者降压治疗不足,如能强化治疗、合理用药,完全能够提高降压达标率。
Objective To investigate the blood pressure（BP） control and the use of antihypertensive drugs in outpatients of cardiovascular departments. Methods BP measurement and questionnaire survey. Results （1） A total of 2 681 hypertensive patients[1 507 male and 1 174 female, mean age （65 ± 12） years old ] were enrolled in this study; their mean disease duration was （12 ± 10） years and the mean BP was （136.3 ±13.9）/（82.5 ± 9.8） mmHg （1 mmHg = 0. 133 kPa）. The BP of 43. 2% （1 159/2 681） patients was successfully controlled. （2） The age, highest systolic blood pressure （SBP）, highest diastolic blood pressure （ DBP）, disease progress and body mass index（BMI） were significantly different between controlled and uncontrolled BP patients（all P 〈 0.01 ）. （3） In BP uncontrolled patients, 39.6%（602/1 522） were isolated systolic hypertension, 14.9%（227/1 522）were isolated DBP, and 45. 5% （693/1 522）had SBP and DBP both increased. The age, highest SBP, highest DBP, disease duration, BMI, hierarchical rank cardiovascular risk, and complication were significantly different between patients with above 3 types of hypertension（all P〈0.01）. （4） In BP controlled patients, only 44.8% have taken 1 type of antihypertensive drug. In BP uncontrolled patients, 0.9% never took any antihypertensive drug before and 44.6 % have only taken 1 type of antihypertensive drug. Conclusion （1） The control rate of hypertension in the hypertensive outpatients of cardiovascular department in Shanghai is 43.2 % ; （2） Old age, high base level BP, long duration of disease, and high BMI are the factors influencing the control of hypertension. Patients with isolated systolic hypertension are more difficult to treat; （3） Antihypertensive treatment is insufficient for a large portion of patients; higher control rate can be achieved if intensified treatment and better drug therapy are given.
出处
《上海医学》
CAS
CSCD
北大核心
2007年第8期588-591,共4页
Shanghai Medical Journal
关键词
高血压
门诊患者
控制率
抗高血压药物
并发症
Hypertension
Outpatients
Control rate
Anti-hypertensive drugs
Complication
