摘要
目的：了解中国部分城市医院门诊高血压患者的基本情况、危险分层和降压达标率。方法：在北京、上海、广州100家医院，入选年龄35～85岁、性别不限、原发性高血压门诊患者25336例。调查患者生活习惯、疾病史、危险因素、用药情况及检查血压、身高、体重、腰围等。结果：25336例患者，平均年龄（63．6±11．5）岁，男性占51．8％，有心血管病病史占39．2％，糖尿病为20．30，心房颤动史为9．60，左室肥厚为19．7％，正在吸烟者为17．60。基线血压平均（139．3±18．6）／（82．3±12．0）mmHg（1mmHg=0．133kPa）；危险分层高危／很高危占72．10；降压药物使用率占97．7％（其中钙拮抗剂为55％）；联合降压治疗占65．1％；血压达标率为39．30。结论：本组门诊高血压患者为心血管病发生的高危人群，降压药使用率高，但达标率不高。
Objective：To explore the risk of cardiovascular diseases in hypertensive patients of China. Subjects and method： Inclusive criterion： aged 35-85 years, male and female, essential hypertensive clinic patients. Method： Ask the patients their history of disease, risk factors, treatment condition; and measure blood pressure, high, weight and waist circule. Result：There are 25 336 cases from Beijing, Shanghai and Guangzhou city are included in this study. Male is 51.8%. The average age of the patients is （63.6±11.5） years old. Patients with history of cardiovascular disease are 39.2 %, history of atrial fibrillation 9.6 %, left ventricular hypertrophy 19.7 %, and di abetes is 20.3%. Patients are with smoking 17.6%. Baseline blood pressure are （139.3 ± 18. 6）/（82.3 ± 12.0） mmHg;high and very high risk 72.1%; and antihypertensive drugs take 97.7%, （calcium antagonist 55%）; the target of blood pressure 39.3 %. Conclusion： Hypertensive clinic patients in this group are high risk of cardiovascular diseases,and treatment rate of lowering BP is higher but target is lower.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2008年第8期603-605,共3页
Journal of Clinical Cardiology
关键词
高血压
基础情况
危险分层
血压达标
Hypertension
Baseline condition
Stratification of risk
Blood pressure target
