摘要
目的分析石柱土家族地区高血压诊断治疗现状。方法采用抽样问卷调查的方法对2011年12月~2012年12月本地10个片区的高血压患者的病史资料进行收集和分析。并选取同期来重庆市石柱土家族自治县人民医院进行健康检查的志愿者100例为对照组。结果石柱土家族地区年龄≥18岁的高血压患者共3510例,高血压知晓率为26.44%（928/3510）,治疗率为21.36%（750/3510）,血压控制率为7.47%（262/3510）。且高血压程度、知晓率、治疗率、血压控制率与年龄呈负相关。3510例高血压患者中,43例（6.5%）患者没有排除继发性高血压可能,403例（61.3%）患者辅助检查不完善,307例（46.7%）患者治疗不正规,485例（73.8%）患者没有进行非药物治疗。单因素分析结果显示,超重、吸烟、饮酒、高血脂、嗜盐、精神压力、家族史与高血压密切相关（P〈0.05）。多因素Logistic分析结果显示超重、吸烟、高血脂、嗜盐、家族史是高血压发生的危险因素（P=0.024,0.019,0.042,0.031,0.018）。结论石柱土家族地区高血压的诊断和治疗存在不规范的现象,需要依据高血压的危险因素进一步加强对高血压知识的宣教,不断普及高血压的预防知识,并加强对基层医生关于高血压防治指南的培训,提高高血压的治疗量和控制率。
Objective To analyze the status of the diagnosis and treatment of hypertension Shizhu Tujia area. Methods The use of sampling survey methods to December 2011-10 patients with hypertension local Area in December 2012 during the history of data collection and analysis. And select the year to our hospital for health checks volunteers 100 cases of the control group. Results Shizhu Tujia area 〉 18 years of age, a total of 3510 cases of patients with hypertension, hypertension awareness rate was 26.44% （928/3510）, the treatment rate of 21.36% （750/3510）, blood pressure control rate of 7.47% （262/3510）. And the degree of hypertension, awareness, treatment, blood pressure control rate was negatively correlated with age. 3510 cases were hypertension patients, 43 patients （6.5%） did not rule out the possibility of secondary hypertension, 403 cases （61.3%） had incomplete examinations, 307 patients （46.7%） with irregular treatment, 485 patients （73.8%） with no non-drug therapy. Univariate analysis showed that overweight, smoking, alcohol consumption, high cholesterol, halophilic, stress, family history ＆hypertension is closely related （P〈0.05）. Logistic multivariate analysis showed that overweight, smoking, high cholesterol, halophilic, family history is an independent risk factor of hypertension （P=- 0.024,0.019,0.042,0.031,0.0 18）. Conclusion There is a diagnostic and treatment of hypertension in Shizhu Tujia area unregulated phenomenon, based on risk factors of hypertension need to further strengthen the mission of hypertension knowledge, the growing popularity of hypertension prevention knowledge and strengthen primary care doctors on Hypertension Prevention Guide training to improve treatment capacity and control of hypertension.
出处
《当代医学》
2015年第35期161-163,共3页
Contemporary Medicine
基金
重庆市卫生局医学科研项目(2012-2-337)
关键词
高血压
诊断现状
治疗现状
危险因素
Hypertension
Diagnostic status quo
Treatment status
Risk factors
