摘要
目的了解北京市顺义区高血压患者发生合并症的现状,分析其影响因素,为后续的政策制订和干预研究提供依据。方法于2016年5-9月随机选取北京市顺义区8个社区卫生服务中心,纳入符合标准的高血压居民作为调查对象,采用自行设计的调查问卷及体格测量表进行面对面问卷调查和体格测量。采用非条件Logistic回归模型分析高血压患者合并症的影响因素。结果本次研究共调查高血压患者596例,男性193例(32.4%),女性403例(67.6%),合并症发生率分别为65.8%、61.7%。不同年龄(x^2=4.439, P=0.035)、患者病程长短(x^2=13.080, P=0.001)、服药年限(x^2=18.878, P<0.001)、舒张压控制是否理想(x^2=7.077, P=0. 008)、BMI分类(x^2=8.045, P=0. 005)与患者合并症发生率有关。对高血压合并症的多因素非条件Logistic回归分析显示,相对于病程11年以上,≤5年的OR值为0.489, 6~10年的OR值为0.903;相对于舒张压控制不理想,舒张压控制理想的OR值为0.983;相对于BMI正常,超重和肥胖的OR值为1.636;相对于服药年限≤5年,6~10年的OR值为1.631, 11年以上的OR值为4.981。结论顺义区高血压患者发生合并症的风险较高,预防高血压患者合并症发生的任务艰巨,需要综合考虑导致高血压患者合并症发生的危险因素。
Objective To know current situation of complications and its determinants among hypertensive patients in Shunyi District, and provide reference for policy-making and intervention studies in the future.Methods There were 8 community health service centers were randomly selected.A total of 596 patients with primary hypertension met the inclusion criteria.Patients were enquired by self-designed questionnaire and physical measurement table.Results In this study, a total of 596 patients with hypertension were enrolled, including 193 males (32.4%) and 403 females (67.6%), and the incidence of complication was 65.8% and 61.7%, respectively.The results showed that the different age groups (x =4.439, P =0.035 ), duration of disease (X^2 =13.080,P=0.001),duration of medication (X^2=18.878,P<0.001), ideal control of diastolic blood pressure (X^2=7.077, P =0.008 ), BMI classification (X^2=8.045, P=0.005) were related to the incidence of complication.Multivariate unconditional logistic regression analysis showed that the OR value in years group was 0.489 and that of 6-10 years group was 0.903 compared to the duration of above 11 years group;the OR value in ideal diastolic blood pressure control group was 0.983 compared to unsatisfactory diastolic blood pressure control group;the OR value of overweight and obesity group was 1.636 compared to normal BMI group.Compared to medication less than 5 years, the OR value in 6 -10 years group was 1.631, and the OR value in over 11 years group was 4.981.Conclusion The risk of complication of hypertension patients is high in Shunyi District, preventing the complication of hypertension patients is serious.It is necessary to consider all the risk factors that lead to the complication of hypertension patients.
作者
胡建功
何朝
赵莹颖
张艳艳
李征
白如冰
李长青
孙昕霙
HU Jian-gong;HE Chao;ZHAO Ying-ying;ZHANG Yan-yan;LI Zheng;BAI Ru-bing;LI Chang-qing;SUN Xin-ying(Shunyi District Centre for Disease Control and Prevention,Beijing 101300,China)
出处
《中国健康教育》
北大核心
2019年第3期221-224,共4页
Chinese Journal of Health Education
基金
北京市自然科学基金资助(7162105)
关键词
合并症
高血压
危险因素
Complication
Hypertension
Risk factors
作者简介
胡建功(1989-),男,硕士,医师,主要从事慢性病预防与控制工作;通信作者:孙昕窦,女,教授,研究方向:健康教育与健康促进。E-mail:xysun@bjmu.edu.cn.
