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目的评价社区经常就诊的老年高血压患者血压控制及随访情况。方法通过社区高血压患者管理软件,收集患者就诊基线及1年内随诊资料。结果共收集60岁以上高血压患者3375例。基线血压控制率为63.5%,66.9%随访6个月以上。基线血压、第3、6个月血压控制率分别为61.8%,62.4%和61.6%,血压控制率没有统计学意义(x~2=0.16,P=0.69)。基线血压控制良好者3、6个月随访血压控制率分别为72.9%和72.1%,血压控制率没有统计学意义(x~2=0.26,P=0.61)。基线、3、6个月血压均控制的高血压患者与血压控制不良者相比,服药比例分别为96.2%和97.7%,没有明显统计学意义(x~2=3.58,P=0.06);体育锻炼、限盐、控制体重对提高控制率有显著影响。结论经常到社区就诊的高血压患者血压控制率较高,糖尿病、收缩压控制不良是影响血压控制率的重要因素。体育锻炼、限盐、控制体重有助于提高血压控制率。血压控制良好者可3～6个月随访1次。
Objective To evaluate the control and follow-up of blood pressure in elderly patients with hypertension who are often referred to the community. Methods Community hypertensive patients management software was used to collect the patient baseline and follow-up data within 1 year. Results A total of 3375 cases of hypertension over 60 years old were collected. Baseline blood pressure control rate was 63.5%, followed by 66.9% for more than 6 months. Baseline blood pressure, blood pressure control rates at 3 and 6 months were 61.8%, 62.4% and 61.6%, respectively. There was no significant difference in blood pressure control rate (x 2 = 0.16, P = 0.69). Baseline blood pressure well controlled by 3 and 6 months follow-up blood pressure control rates were 72.9% and 72.1%, blood pressure control rate was not statistically significant (x ~ 2 = 0.26, P = 0.61). Baseline blood pressure in hypertensive patients 3 and 6 months compared to the control average with poor control of blood pressure, taking a ratio of 96.2% and 97.7% respectively, and no statistically significant (x ~ 2 = 3.58, P = 0.06); PHYSICAL Exercise, salt restriction, weight control have a significant impact on the rate of control. CONCLUSIONS: Hypertension patients often visit the community have high rate of blood pressure control. Diabetes and poor systolic blood pressure control are important factors that influence the rate of blood pressure control. Physical exercise, salt restriction, weight control help increase blood pressure control. Good blood pressure control can be 3 to 6 months follow-up 1.