摘要
目的描述上海市松江区自报高血压患者血压控制情况,分析相关因素,为防治高血压提供科学依据。方法2016—2017年在上海市松江区4个华东区域自然人群队列研究项目街镇招募20~74岁常住居民进行问卷调查和体格检查,收集其区域临床诊疗数据,采用SPSS 16.0进行数据分析,不同特征高血压患者的血压控制率的比较采用χ;检验,血压控制的相关因素采用二分类logistic回归分析。结果共调查11849名自报高血压患者,平均年龄(61.56±7.84)岁,其中女性占54.47%;血压控制率为38.69%,标化率36.45%。多因素logistic回归分析结果显示,男性(OR=1.136,95%CI:1.029~1.254)、40~59年龄组(OR=1.831,95%CI:1.209~2.772)、60~74年龄组(OR=2.066,95%CI:1.367~3.124)、体重过低(OR=1.717,95%CI:1.083~2.721)、戒烟(OR=1.264,95%CI:1.054~1.515)、现在吸烟(OR=1.240,95%CI:1.104~1.393)是血压控制率的有利因素。超重(OR=0.817,95%CI:0.745~0.896)、肥胖(OR=0.683,95%CI:0.599~0.778)、并发糖尿病(OR=0.883,95%CI:0.808~0.965)、血脂异常(OR=0.872,95%CI:0.804~0.944)是血压控制的不利因素。结论上海市松江区自报高血压患者的血压控制率不高,在采取药物控制措施同时应注意体重控制、糖尿病和血脂异常等并发症控制。
Objective To understand the control rate of blood pressure and its related factors among self-reported hypertension patients in Songjiang District,Shanghai,and to provide a scientific basis for hypertension prevention and treatment.Methods A questionnaire survey and physical examinations were performed among permanent residents aged 20-74 years recruited from four streets and towns with the East-China Natural Population-Based Cohort Study Project in Songjiang District,Shanghai from 2016 to 2017.Local clinical diagnosis and medication data were collected,and then analyzed by SPSS 16.0 software.Chi-square test wasused to compare the differences in the control rate of blood pressure among hypertension patients with different characteristics.Factors related to the control rate of blood pressure were identified by binary logistic regression analysis.Results A total of11,849 self-reported hypertension patients were surveyed,with the average age of(61.56±7.84)years and 54.47%being females.The control rate of blood pressure was 38.69%,with the standardized control rate of 36.45%.Multivariate logistic regressionanalysis indicated that males(OR=1.136,95%CI:1.029-1.254),age group of 40-59 years(OR=1.831,95%CI:1.209-2.772),age group of 60-74 years(OR=2.066,95%CI:1.367-3.124),low weight(OR=1.717,95%CI:1.083-2.721),smoking cessation(OR=1.264,95%CI:1.054-1.515),and present smoking(OR=1.240,95%CI:1.104-1.393)were favorablefactors for the control rate of blood pressure.Overweight(OR=0.817,95%CI:0.745-0.896),obesity(OR=0.683,95%CI:0.599-0.778),complicating with diabetes(OR=0.883,95%CI:0.808-0.965),and dyslipidemia(OR=0.872,95%CI:0.804-0.944)were unfavorable factors for blood pressure control.Conclusion The control rate of blood pressure in the self-reportedhypertension patients in Songjiang District,Shanghai was not high.Attention should be paid to control of weight,diabetes,dyslipidemia and other complications while anti-hypertensive agents are used.
作者
吴毅凌
俞敏君
周志明
王桂敏
姜永根
赵根明
WU Yi-ling;YU Min-jun;ZHOU Zhi-ming;WANG Gui-min;JIANG Yong-gen;ZHAO Gen-ming(Songjiang District Center for Disease Control and Prevention,Shanghai 201620,China;Maogang Community Health Service Center of Songjiang District,Shanghai 201620,China;Sheshan Community Health Service Center of Songjiang District,Shanghai 201620,China;School of Public Health,Fudan University,Shanghai 200032,China)
出处
《实用预防医学》
CAS
2022年第4期402-405,共4页
Practical Preventive Medicine
基金
国家重点研发计划精准医学重点专项(2017YFC0907001)
上海市松江区第五届拔尖人才培养计划。
关键词
高血压
控制率
相关因素
队列
hypertension
control rate
related factor
cohort
