目的 :分析信息化管理系统建立5年后上海市莘庄社区老年高血压患者的管理情况,探索进一步管理的经验及不足。方法:2012年6月至12月,上海市莘庄社区卫生服务中心组织60岁及以上老年人体格检查,采用电子血压计(Microlife3AJ1-2)连续测量3...目的 :分析信息化管理系统建立5年后上海市莘庄社区老年高血压患者的管理情况,探索进一步管理的经验及不足。方法:2012年6月至12月,上海市莘庄社区卫生服务中心组织60岁及以上老年人体格检查,采用电子血压计(Microlife3AJ1-2)连续测量3次血压,并现场询问降压药物使用和高血压的知晓情况。取3次血压平均值进行分析。血压≥140/90 mm Hg(1 mm Hg=0.133 k Pa)为高血压及血压控制不达标的定义界值。分别采用Students’t检验和χ2检验比较不同性别间连续性变量及率的差别,采用χ2趋势检验分析各个年龄组之间率的趋势。结果:1实际参加调查居民9 605名(参加率64.9%),8 347名(男性45.7%)纳入分析。2高血压患病率为56.9%,知晓率82.0%,治疗率79.1%,控制率47.8%,治疗后控制率为60.4%。3在治疗的3 760例高血压患者中,54.1%服用1种降压药物,仅10例(0.3%)服用3种以上降压药物并包括1种利尿剂,可定义为难治性高血压。4使用的降压药物中,钙通道阻滞剂最多,占45.1%,其次为血管紧张素Ⅱ受体拮抗剂(22.8%)和传统复方制剂(17.6%),肾上腺素β受体阻滞剂(4.2%)和血管紧张素转化酶抑制剂(4.1%)较少。结论:信息化管理下的莘庄社区高血压知晓率和治疗率较高,但需进一步优化管理,提高联合药物治疗比例,提高控制率。展开更多
Introduction: Hypertension (HTN) is for many decades a worldwide major risk factor for cardiovascular disease.However, hypertension control rates are globally low in the world. Studies on observance have been publishe...Introduction: Hypertension (HTN) is for many decades a worldwide major risk factor for cardiovascular disease.However, hypertension control rates are globally low in the world. Studies on observance have been published in Mali but there is to our knowledge no published data about HTN control rate. We therefore conducted this study to assess the control rate in short term after 3 months management and to look for factors associated with HTN control. Materials and Methods: This study designed as prospective was conducted in the cardiology department of the University Hospital Gabriel Touré (UH-GT) from March 24 to September 24, 2017. All outpatients aged 18 years and more who came for visit and with hypertension as diagnose were involved. All patients have consented to participate in the study. Sociodemographic and data on physical examination including measures for BP, height, weight, waist circumference (WC) and direct costs as reported by the patients were recorded. Patients were asked about medication discontinuation and if yes why and then they were informed about the need to take regularly medication. The concept of chronic disease was explained to them. A formulary served to collect data that were inserted into a Microsoft Access database and analyzed using SPSS version 18. After describing of sociodemographics and continuous variables, crosstabs and finally a logistic regression was performed to look for blood pressure control predictors. Results: There was no statistical difference in sociodemographics between older and newly diagnosed patients. At 3 months globally 40.90% (31.1 for old Patients and 09.8% for newPatients) of the sample were controlled (Figure 1). For old patients, hypertension control rate at inclusion was 12.78% and reached 49.44% at 3 months (Figure 2). After logistic regression only HTN duration was significant predictor with Odd-ratio of 0.365 [0.213 - 0.624] 95% CI and p-value patients as reference). During the study period therapeutic regimen remained unchanged in 73.1% (44.4 for ol展开更多
文摘目的 :分析信息化管理系统建立5年后上海市莘庄社区老年高血压患者的管理情况,探索进一步管理的经验及不足。方法:2012年6月至12月,上海市莘庄社区卫生服务中心组织60岁及以上老年人体格检查,采用电子血压计(Microlife3AJ1-2)连续测量3次血压,并现场询问降压药物使用和高血压的知晓情况。取3次血压平均值进行分析。血压≥140/90 mm Hg(1 mm Hg=0.133 k Pa)为高血压及血压控制不达标的定义界值。分别采用Students’t检验和χ2检验比较不同性别间连续性变量及率的差别,采用χ2趋势检验分析各个年龄组之间率的趋势。结果:1实际参加调查居民9 605名(参加率64.9%),8 347名(男性45.7%)纳入分析。2高血压患病率为56.9%,知晓率82.0%,治疗率79.1%,控制率47.8%,治疗后控制率为60.4%。3在治疗的3 760例高血压患者中,54.1%服用1种降压药物,仅10例(0.3%)服用3种以上降压药物并包括1种利尿剂,可定义为难治性高血压。4使用的降压药物中,钙通道阻滞剂最多,占45.1%,其次为血管紧张素Ⅱ受体拮抗剂(22.8%)和传统复方制剂(17.6%),肾上腺素β受体阻滞剂(4.2%)和血管紧张素转化酶抑制剂(4.1%)较少。结论:信息化管理下的莘庄社区高血压知晓率和治疗率较高,但需进一步优化管理,提高联合药物治疗比例,提高控制率。
文摘Introduction: Hypertension (HTN) is for many decades a worldwide major risk factor for cardiovascular disease.However, hypertension control rates are globally low in the world. Studies on observance have been published in Mali but there is to our knowledge no published data about HTN control rate. We therefore conducted this study to assess the control rate in short term after 3 months management and to look for factors associated with HTN control. Materials and Methods: This study designed as prospective was conducted in the cardiology department of the University Hospital Gabriel Touré (UH-GT) from March 24 to September 24, 2017. All outpatients aged 18 years and more who came for visit and with hypertension as diagnose were involved. All patients have consented to participate in the study. Sociodemographic and data on physical examination including measures for BP, height, weight, waist circumference (WC) and direct costs as reported by the patients were recorded. Patients were asked about medication discontinuation and if yes why and then they were informed about the need to take regularly medication. The concept of chronic disease was explained to them. A formulary served to collect data that were inserted into a Microsoft Access database and analyzed using SPSS version 18. After describing of sociodemographics and continuous variables, crosstabs and finally a logistic regression was performed to look for blood pressure control predictors. Results: There was no statistical difference in sociodemographics between older and newly diagnosed patients. At 3 months globally 40.90% (31.1 for old Patients and 09.8% for newPatients) of the sample were controlled (Figure 1). For old patients, hypertension control rate at inclusion was 12.78% and reached 49.44% at 3 months (Figure 2). After logistic regression only HTN duration was significant predictor with Odd-ratio of 0.365 [0.213 - 0.624] 95% CI and p-value patients as reference). During the study period therapeutic regimen remained unchanged in 73.1% (44.4 for ol
