摘要
目的评估心血管危险因素对高血压患者心血管危险分层的影响。方法据中国高血压防治指南（基层板）对于高血压患者，按血压水平和总心血管危险因素进行危险分层，观察总心血管危险因素对高血压患者危险分层的影响。结果如果忽视危险因素的影响，中低危患者占52．5％，高危占29．7％。加上对危险因素的评估，低危及中危的患者明显减少，而高危（包括极高危）患者明显增加，比较差异有极显著性（户〈0．01）。影响心血管危险分层的危险因素中，比例最大的为血脂异常，在高危险组中占到40％，其次为早发心血管病家族史及吸烟史，分别占到24％和22％，然后是血糖异常和腹型肥胖，占18％和16％。结论心血管危险因素对高血压患者总心血管危险分层有着决定性的影响，治疗策略应根据初始危险分层进行。
Objective To evaluate the effects of total cardiovascular risk factors to cardiovas- cular risk stratification of hypertension patients. Methods All patients were classified not only by hyper- tension level but also by total cardiovascular risk facts according to Chinese hypertension guidelines （Grassroots version）. Results If we neglect the risk factors, low and moderate-risk individuals added up to 52.5%, while high-risk patients took up 29.7%. Total cardiovascular risk accounted, individuals at the low and moderate risk level decreased （52.5% vs 25.4%）, while high-risk patients increased （68.3% vs 29.7%）, P 〈 0.01. After analyzing the total cardiovascular risk factors which affect stratifying among high-risk patients, we found dyslipidemia taking up the most, up to 40%; followed by family history of premature cardiovascular disease and smoking with 24% and 22% respectively; then the abnormal blood sugar and abdominal obesity with 18% and 16%.Conclusions Total cardiovascular risk factors have a decisive influence to cardio- vascular risk stratification of hypertension patients. Treatment strategies should be carried out according to initial level of risk stratification.
出处
《国际医药卫生导报》
2011年第18期2253-2255,共3页
International Medicine and Health Guidance News
关键词
高血压
危险分层
心血管危险因素
Hypertension
Risk stratification
Cardiovascular risk
