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目的了解北京市怀柔区农村地区部分高血压患者现状及现存的危险因素,为实施高血压干预措施,降低由高血压引起的慢性并发症的发生率提供依据。方法采取整群随机抽样方法,在严格的质量控制下于2008年5—10月对怀柔区4个乡镇5个村的高血压患者进行询问调查及身高、体重、血压的测量、血生化检测,并进行统计学分析。结果怀柔农村地区466名高血压患者超重肥胖率达79.8%,血脂异常率51.1%,合并有心脏、脑、血管、肾脏并发症率18.5%,规律锻炼率26.0%,高盐饮食率51.3%,规律服药率52.4%,高血压的控制率为17.8%。结论怀柔区农村地区高血压患者现存的主要危险因素为超重、肥胖、血脂异常、高盐饮食、缺乏体育锻炼,自我管理意识差,应加强健康管理,控制或延缓并发症的发生。
Objective To understand the current status and existing risk factors of some hypertensive patients in rural areas of Huairou District of Beijing, and provide basis for implementing hypertension interventions and reducing the incidence of chronic complications caused by hypertension. Methods A cluster random sampling method was used to investigate the hypertension patients in 5 villages of 4 towns and villages in Huairou district from May to October in 2008 with the height quality, weight, blood pressure, blood biochemical detection, And statistical analysis. Results 466 hypertensive patients in Huairou rural area had overweight and obesity rates of 79.8% and dyslipidemia rates of 51.1%. The complication rate of heart, brain, blood vessel and kidney was 18.5%, regular exercise rate was 26.0%, high salt diet rate was 51.3% Regular medication rate of 52.4%, hypertension control rate of 17.8%. Conclusion The main risk factors of hypertension in rural areas of Huairou District are overweight, obesity, dyslipidemia, high salt diet, lack of physical exercise and poor self-management awareness. Health management should be strengthened to control or delay the occurrence of complications.