摘要
目的 了解门诊人群 :1)高血压的患病比例、知晓、治疗及控制情况 ,2 )影响高血压的知晓、治疗及控制率的重要因素。方法 横断面性质的流行病学研究。采用国际通用的现场测量与问卷调查相结合的标准方法 ,分别在中国北方、南方和中部 8个城市 ,选择 18家医院 (其中三级医院 10家 ,二级医院 6家 ,一级医院 2家 ) ,对来这些医院内科、妇科和其它科门诊就诊的 35岁及以上患者进行了专项调查。结果 本次共调查 970 3人 ,一级医院、二级医院、三级医院分别入选 12 16例 (12 .5 % ) ,2 32 4例 (2 4 0 % )及 6 16 3例 (6 3.5 % ) ,性别、年龄比例基本平衡。被调查人群患高血压的比例达 4 6 .5 % ,无论男女 ,均随年龄递增。本次调查人群近一年内就诊时经常测血压的比例仅 15 .9%。调查人群中高血压患者知道自己患高血压的比例为 77.2 % ,在过去一年内已接受降压治疗的占 70 % ,治疗后血压降至正常的占 33% ,全部高血压患者中血压得到控制的占 2 3%。有高血压相关知识的高血压患者与无高血压相关知识者比较 ,高血压知晓率分别为 82 %和 6 0 % ,药物治疗率分别为 71%和 2 7% ,接受治疗的高血压患者中血压控制率分别为 32 %和 19% ,高血压人群中血压控制率分别为 2 3%和8% ,前者高血压知晓率、治疗率和控制率均?
Objective To investigate the rate of awareness, treatment, and control of hypertension in the outpatients. Methods This study used the data obtained from a cross sectional survey of the outpatients in 18 general hospitals, representing the different levels of medical care in 8 major cities in Northern and Southern China. Patients were surveyed by clinical interview with BP measurement and answering the questionnaire. Results A cohort of 9703 subjects were enrolled, 4510(46.5%) of them were diagnosed as hypertension. Measurement of BP were taken regularly in only 15.9% of all patients during past clinic visits. Hypertension increased linearly with age. The rate of awareness, treatment, and achievement of goal BP were 77%, 70%, and 23%, respectively. Comparison between the patients with and without the knowledge about hypertension, it was found the rate of treatment and BP control were 71% vs 27%, and 23% vs 8%. ( P <0 01, respectively). Those who have discontinued their medications are most likely ascribed to their poor understanding of the disease. Conclusion Most of the patients with hypertension were aware of their disease and have been treated with anti hypertensive medications. Lack of the knowledge seems to be the major causes of treatment failure. Effort should be made to educate patients in an appropriate way.
出处
《高血压杂志》
CSCD
2003年第1期73-76,共4页
Chinese Journal of Hypertension
