中国冶金工业医学杂志

社区高血压患者的治疗情况及效果调查分析*

单位：1四川省泸州市龙马潭区中医院四川泸州 646000 2四川医科大学流行病与统计教研室 3四川泸州市疾病预防控制中心

分类号：R 5441

出版年,卷(期):页码：2016,33(3):254-256

摘要：

目的了解社区高血压病患者的治疗情况及控制效果，为有效治疗高血压提供依据。方法抽取泸州市2个社区部分420例35～69岁高血压患者作为研究对象，采用现况调查进行问卷调查和体检。结果在本组420例高血压患者中，坚持每天服药治疗率为6905%，血压控制率为331%。参加社区高血压健康管理的患者在药物依从性、定期测量血压、控制情绪的比例均高于未参加者（P＜005）。严格坚持天天服药的患者血压控制率为403%，高于其他患者，差异有统计学意义（χ2=2612，P＜005）。采用药物治疗与非药物治疗相结合的血压控制率为428%，高于单纯采用每天药物治疗288%和非药物治疗192%，差异有统计学意义（χ2=1310，P＜001）。结论社区高血压病患者治疗情况不容乐观，血压的控制率低。应加强社区高血压病的健康管理，增强患者的自我管理能力，提高血压的控制率，减少高血压并发症的发生。

关键词：社区高血压;治疗情况;控制现状

ObjectiveTo investigate the treatment and control effect of hypertension patients in community,and provide evidence for effective treatment of hypertensionMethods420 patients with hypertensive of 35 to 69 year old were randomly selected from 2 communities in Luzhou,were carried out prevalence questionnaire survey and physical examinationResultsIn 420 hypertension patients,daily medicine treatment rate was 6905%,the blood pressure control rate was 331%The proportion of drug compliance,blood pressure monitoring and emotional control were higher in the hypertension patients who joined in the community health management than those not joined(P＜005)The blood pressure control rate(403%)of the patients strictly adhere to daily medicine treatment was higher than others,and the difference was statistically significant(χ2= 2612，P＜005)The rate of blood pressure control in patients who treated with drug and non drug treatment(428%)was higher than that treated with drug(288%)or non drug therapy（192%）,and the difference was statistically significant(χ2=1310，P＜001)ConclusionTreatment of patients with hypertension in community is not optimistic,and the control rate of blood pressure is lowerWe should strengthen hypertension management of community,enhance the self\|management ability of patients,improve the blood pressure control rate,and reduce the incidence of hypertension complicationsKey Words:Community hypertension;Teatment;Control status

基金项目：

泸州市人民政府\|泸州医学院联合基金(14JC0180)

作者简介：

参考文献：

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