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目的评估社区高血压病患者的控制状况,分析影响血压控制效果的相关因素,为寻求针对性的高血压病强化干预措施提供依据。方法通过分层整群抽样方法,对抽中社区在社区卫生服务中心登记管理的30～70岁的2 675例高血压病患者进行流行病学问卷调查、体格检查和血生化检查。结果无锡市社区管理的30～70岁高血压病患者的达标率为35.6%,其中城市43.1%,农村27.0%,多因素Logistic回归分析显示,文化程度高、每周体育锻炼时间≥120 min、高血压病防治知识得分高等为血压控制达标的有利因素;而每日食油量多、高血压病程长、空腹血糖和总胆固醇水平高为血压控制达标的不利因素。结论以社区为基础的高血压病规范化管理显著提高了血压控制达标率,社区医护人员在管理高血压病患者过程中应重视对饮食、运动指导、降脂以及高血压病防治知识的宣传。
Objective To evaluate the control status of patients with hypertension in community and to analyze the related factors that affect the effect of blood pressure control, so as to provide the basis for seeking specific intensified intervention for hypertension. Methods The stratified cluster sampling method was used to conduct epidemiological survey, physical examination and blood biochemical examination on 2675 hypertensive patients from 30 to 70 years old registered in community health service centers. Results The compliance rate of community-managed hypertension patients aged 30-70 years in Wuxi was 35.6%, of which 43.1% in urban areas and 27.0% in rural areas. Multivariate logistic regression analysis showed that the education level was high, the physical activity time was 120 minutes per week, Hypertension prevention and control knowledge score higher for blood pressure control compliance favorable factors; and daily cooking oil, long duration of hypertension, fasting blood glucose and high levels of blood pressure control for adverse factors. Conclusion The standardized management of community-based hypertension significantly improves the compliance rate of blood pressure control. Community health workers should pay attention to the promotion of diet, exercise guidance, lipid-lowering and prevention and treatment of hypertension in the management of patients with hypertension.