中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2013年
22期
178-180
,共3页
高血压%预防干预%患病率%知晓率%治疗率%控制率
高血壓%預防榦預%患病率%知曉率%治療率%控製率
고혈압%예방간예%환병솔%지효솔%치료솔%공제솔
Hypertension%Prevention intervention%Prevalence rate%Awareness rate%Treatment rate%Control rate
目的：调查社区居民高血压患病率、高血压并发症、合并症情况，高血压病治疗现状，对确诊患者进行相关综合预防干预，提高对高血压病的知晓率、治疗率、控制率，减少并发症。方法对5109例居民进行问卷调查、体格检查及生化检测。针对确诊高血压病、糖尿病进行随访干预平均12个月，记录资料。结果调查发现，高血压的患病率、知晓率、治疗率、控制率分别为19.2%、63.8%、48.2%、18.0%，糖尿病并患高血压达43.02%，高血压并患糖尿病有23.13%，两者与普通人相比差异有统计学意义（P＜0.05）。通过科学干预12个月，高血压知晓率、治疗率、控制率为87.1%、79.2%、25.6%，其中高血压的治疗率、控制率比较差异有统计学意义（P＜0.05）。高血压病部分并发症明显减少，其中冠心病和肾功能不全差异有统计学意义（P＜0.05）；用药的合理性大大提高（P＜0.05）。结论高血压病呈慢性进行性发展，并发症多，危害大，通过科学综合干预，提高治疗率和控制率，以达到预防心脑血管病发生的目标。
目的：調查社區居民高血壓患病率、高血壓併髮癥、閤併癥情況，高血壓病治療現狀，對確診患者進行相關綜閤預防榦預，提高對高血壓病的知曉率、治療率、控製率，減少併髮癥。方法對5109例居民進行問捲調查、體格檢查及生化檢測。針對確診高血壓病、糖尿病進行隨訪榦預平均12箇月，記錄資料。結果調查髮現，高血壓的患病率、知曉率、治療率、控製率分彆為19.2%、63.8%、48.2%、18.0%，糖尿病併患高血壓達43.02%，高血壓併患糖尿病有23.13%，兩者與普通人相比差異有統計學意義（P＜0.05）。通過科學榦預12箇月，高血壓知曉率、治療率、控製率為87.1%、79.2%、25.6%，其中高血壓的治療率、控製率比較差異有統計學意義（P＜0.05）。高血壓病部分併髮癥明顯減少，其中冠心病和腎功能不全差異有統計學意義（P＜0.05）；用藥的閤理性大大提高（P＜0.05）。結論高血壓病呈慢性進行性髮展，併髮癥多，危害大，通過科學綜閤榦預，提高治療率和控製率，以達到預防心腦血管病髮生的目標。
목적：조사사구거민고혈압환병솔、고혈압병발증、합병증정황，고혈압병치료현상，대학진환자진행상관종합예방간예，제고대고혈압병적지효솔、치료솔、공제솔，감소병발증。방법대5109례거민진행문권조사、체격검사급생화검측。침대학진고혈압병、당뇨병진행수방간예평균12개월，기록자료。결과조사발현，고혈압적환병솔、지효솔、치료솔、공제솔분별위19.2%、63.8%、48.2%、18.0%，당뇨병병환고혈압체43.02%，고혈압병환당뇨병유23.13%，량자여보통인상비차이유통계학의의（P＜0.05）。통과과학간예12개월，고혈압지효솔、치료솔、공제솔위87.1%、79.2%、25.6%，기중고혈압적치료솔、공제솔비교차이유통계학의의（P＜0.05）。고혈압병부분병발증명현감소，기중관심병화신공능불전차이유통계학의의（P＜0.05）；용약적합이성대대제고（P＜0.05）。결론고혈압병정만성진행성발전，병발증다，위해대，통과과학종합간예，제고치료솔화공제솔，이체도예방심뇌혈관병발생적목표。
Objective To investigate the prevalence rate,complications, current treatment situation of community hypertension,and make relevant comprehensive prevention intervention for the patients with confirmed, in order to raise the awareness rate, treatment rate and control rate of hypertension and reduce its complications. Methods 5109 resident were investigated by using questionnaires, physical examinations and biochemical tests. Meanwhile, an average of 12-months follow-up intervention was performed on every patient with diagnosed hypertension or diabetes, and the data were recorded. Results The investigation showed that the prevalence rate, awareness rate, treatment rate and control rate of hypertension was 19.2%,63.8%,48.2% and 18.0% respectively, and the proportion of diabetes complicated with hypertension was 43.02%, while that of hypertension complicated with diabetes was 23.13%, there was significant difference between the both above and healthy people(P < 0.05). After an average of 12-months scientific comprehensive intervention,the awareness rate,treatment rate and control rate of hypertension was 87.1%,79.2% and 25.6% respectively,of which the difference was significant between the treatment rate and control rate of hypertension(P < 0.05).Some complications of hypertension reduced markedly, of which the difference was significant between complicated with coronary heart disease and renal insufficiency(P<0.05);The rationality of drug use improved greatly(P < 0.05). Conclusion Hypertension shows a chronic progressive development, accompanied by numerous complications as well as great harm. Scientific comprehensive intervention can raise the treatment rate and control rate to prevent cardiovascular and cerebrovascular diseases.
