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目的了解社区60岁以上老年高血压患者的现状,探讨有效的健康干预措施。方法采取整群调查的方法,使用统一的居民健康档案表,对南宁市北宁社区60岁以上老年居民进行逐一入户调查。结果调查953名,高血压患者419名,患病率43.97%,知晓率62.2%,治疗率83.3%,控制率78.9%。高血压患者首诊发现方式:因高血压引起不适去医院发现(41.29%),在医院看其他病时发现(26.73%),到医院健康体检(22.67%),社区调查(6.21%),其他(3.10%)。结论加强60岁以上老年居民的高血压防治工作,改变首诊发现方式,开展健康体检和社区诊断,早期发现老年高血压患者,进一步提高老年高血压患者的血压控制率。
Objective To understand the status of elderly hypertensive patients over the age of 60 in community and to explore effective health interventions. Methods The method of cluster survey was used to conduct a household survey of elderly residents over the age of 60 in Nanning Beining community by using a unified resident health record. Results A total of 953 hypertensive patients were investigated. The prevalence rate was 43.97%, awareness rate was 62.2%, treatment rate was 83.3% and control rate was 78.9%. The first diagnosis of hypertension was found in hospital (41.29%) caused by hypertension, 26.73% (26.73%) in other hospitals, health examination in hospital (22.67%), community survey (6.21%) and other (3.10%). Conclusion The prevention and treatment of hypertension in elderly residents over 60 years of age are strengthened, the way of first diagnosis is found, health examination and community diagnosis are carried out, early detection of elderly hypertensive patients and further improvement of blood pressure control rate in elderly patients with hypertension.