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目的探索上海市闵行区H社区高血压患病影响因素,为制定社区高血压健康管理策略提供依据。方法随机抽取辖区内有电子健康档案的并符合纳入标准的高血压患者,并1:1选取血压正常人群为对照组。使用统一配备电子血压计和电子运动手环,连续30d每日记录基本情况、运动、睡眠、吸烟、饮酒、膳食、服药等情况,高血压组回收80人,对照组回收88人。结果高血压组晨起3次平均血压为(130.58±8.82)Hg/(80.23±5.87)Hg,晚间3次平均血压为(131.30±9.27)Hg/(80.33±5.51)Hg;对照组晨起3次平均血压为(120.92±10.09)Hg/(75.43±5.22)Hg,晚间3次平均血压为(121.11±75.74)Hg/(10.16±5.73)Hg。多因素条件logistic回归分析显示,该地区高血压主要危险因素为小学及以下文化程度、中学文化程度、有家族史、低运动和高盐饮食,保护因素有基本运动、家庭月平均收入3 000~5 000元。结论继续加强社区高血压规范管理,提倡家庭干预、体育运动、合理膳食和健康教育。
Objective To explore the influencing factors of hypertension in community H in Minhang District, Shanghai, and to provide the basis for the development of community hypertension management strategies. Methods A random sample of hypertensive patients with electronic health records within the jurisdiction and meeting the inclusion criteria was selected as the control group. A total of 80 people were recruited in the hypertension group and 88 in the control group, using the uniform electronic sphygmomanometer and electronic sports bracelet for 30 days daily to record the basic conditions, exercise, sleep, smoking, drinking, meals and medication. Results The average blood pressure of three times in the morning of hypertension was (130.58 ± 8.82) Hg / (80.23 ± 5.87) Hg, and the average blood pressure of three times in the morning was (131.30 ± 9.27) Hg / (80.33 ± 5.51) The mean blood pressure was (120.92 ± 10.09) Hg / (75.43 ± 5.22) Hg, and the average blood pressure of three times at night was (121.11 ± 75.74) Hg / (10.16 ± 5.73) Hg. Multivariate conditional logistic regression analysis showed that the main risk factors of hypertension in this area were elementary education and below, middle school education, family history, low exercise and high salt diet, and the protection factors had basic movement. The average monthly family income was 3 000 ~ 5000 yuan. Conclusions Continue to strengthen the normative management of community hypertension and promote family intervention, physical exercise, reasonable diet and health education.