摘要
目的分析某社区60周岁以上老年人高血压的患病、控制现状以及相关影响因素,为社区人群高血压的防治管理工作提供依据。方法 2009年对某社区60周岁以上常住居民1504人进行健康体检和问卷调查,应用Logistic回归分析的方法进行高血压的危险因素分析。结果高血压总患病率为60.4%,其中,女性既往患者患病率(39.3%)高于男性(32.7%),文盲组总患病率最高(70.2%)。既往患者规律服药率为92.3%,其中60～69岁组最高(95.1%)。既往患者高血压控制率为30.8%,其中女性(48.7%)高于男性(12.8%)。多因素Logistic回归分析表明,男性、超重、肥胖、吸烟、饮酒、文化程度、定期运动、规律服药是高血压患病率与控制率的重要影响因素。结论高血压是目前影响该社区60周岁及以上老年人健康的主要慢性病之一。本地区高血压患病率较高,控制率较低。女性规律服药率高于男性,规律服药率随着年龄的增大而降低,随着文化程度的提高而升高,80岁以上组规律服药率最低。
OBJECTIVE To discover the distributed features and controlling situation and influencing factors of the old patients with hypertension in a community, and provide suggestion for the community supervisory work of chronic illness. METHODS In 2009, we carried on the physical exam and the questionnaire survey in 1504 old residents （above 60 year） in a community crowd, and we carried out the relevant risk factors by Logistic regression analysis. RESULTS The total prevalence rate of hy pertension was 60.4%, which meaned that the prevalence rate for masculine used hypertension （32.7%） was smaller than the feminine＇s （39.3%）, and the over prevalence rate of hypertension among illiterates was still high （70.2%） . Among the used patients, the rate of the hypertension＇s patients with regularly taking medicine respectively was 92.3%, where 60-group had the highest ratio （95.1%）. The used hypertension＇s controlling rate was 30.8%, where the feminine hypertension＇s controlling rate （48.7%） was higher than the male＇s （12.8%）. The multivariate Logistic regression analyses suggested that male, over weight and obsity, smoking and drinking, education, regular movement, regular-taking-medicine were the significant influ encing factors of hypertension. CONCLUSION The hypertension is one of the most important chronic illnesses among the above 60 years old in this community crowd.
出处
《现代预防医学》
CAS
北大核心
2012年第20期5288-5290,共3页
Modern Preventive Medicine
作者简介
雷红梅（1976-）女，硕士，主治医师，研究方向：内科
