摘要
目的我国农村地区医疗基础薄弱,人群健康意识较差,农村地区的高血压患者很少能受到系统的管理和治疗。本项目拟调查研究湖北省农村40岁以上高血压人群的服药率、控制率,从多个角度分析现阶段我国农村高血压的情况,为我国农村高血压的慢病管理提供理论依据。方法方法:选取湖北省红安县七里坪镇共17个村庄的40岁以上高血压患者作为研究对象,进行问卷调查(年龄、身高、体重、既往史、用药、合并症等情况)、血压测量及血生化相关指标检测,对其服药率、控制率现状进行调查分析。结果本次研究共纳入1053名农村高血压患者,其平均收缩压为152.4±17.1mmHg,平均舒张压为85.6±11.0mmHg,高血压患者的控制率仅为19.3%,男性与女性无显著差异;有糖尿病病史和脑卒中、心肌梗死、心绞痛等心脑血管并发症的患者血压控制率更高;血压控制的人群中,血压均控制在正常高值水平;服用降压药可以显著的改善血压的控制率。结论湖北省农村高血压患者的控制率较低,控制情况主要受服药依从性和规范性的影响,应该着重从健康教育、规范降压药物的使用等方面入手。
Objective Medical foundation is weak in rural areas among our country, and individuals here often have poor health awareness.Hypertension patients in rural areas rarely receive systematic management and treatment.This project intends to investigate and study the drug-taking rate and blood pressure control rate of hypertension population over 40 years old in rural areas of Hubei Province, analyzing the current situation of hypertension and providing a theoretical basis for management of chronic hypertension in rural areas of China.Methods We selected hypertensive patients over 40 years old from 17 villages in Hong′an County, Qiliping Town, Hubei Province as the research subjects and conducted questionnaire surveys(including ages, heights, weights, histories, medications, comorbidities etc),blood pressure measurement and biochemical detection for them, investigating and analysing of their medication rate and control rate.Results There is a total of 1053 rural hypertension patients enrolled in this study.Their average systolic blood pressure was(152.4±17.1)mmHg, and average diastolic blood pressure was(85.6±11.0)mmHg.The control rate of hypertension patients is merely 19.3%,and there is no significant difference between men and women.Patients with history of diabetes, cardiovascular and cerebrovascular complications such as stroke, myocardial infarction, and angina pectoris had a higher blood pressure control rate.Blood pressure is controlled at a high normal level in patient who controlled their pressure.We also found that using anti-hypertensive drugs can significantly improve blood pressure control.Conclusion Control rate of patients with hypertension in rural regions of Hubei Province is relatively low.This condition is mainly affected by medication compliance and standardization of patients.Therefore, we should highlight the importance of health education and standard use of hypotensor.
作者
于坤
叶恒
魏浩然
周玲
彭浩
孙英贤
汪道文
赵春霞
Yu Kun;Ye Heng;Wei Haoran;Zhou Ling;Peng Hao;Sun Yingxian;Wang Daowen;Zhao Chunxia(Tongji Hospital,Tongji Medical College,Huazhong University of Science&Technology y Wuhan,430030,China;Soochow University,Suzhou,215000,China;The First Hospital of China Medical University,Shenyang,110000,China)
出处
《辽宁医学杂志》
2021年第3期18-21,共4页
Medical Journal of Liaoning
基金
十三五国家重点研发计划(课题编号:2017YFC1307602)。
关键词
高血压
农村
控制率
降压药
Hypertension
Countryside
Control rate
Hypotensor
