论文部分内容阅读
目的:调查门诊高血压患者血压的控制达标状况、影响因素及其合并的心血管病危险因素情况。方法:回顾性分析100例门诊高血压患者,记录年龄、性别、血压水平、早发心血管病家族史、体重指数、吸烟史、血生化指标、相关靶器官损害及并存疾病等。结果:100例门诊高血压患者治疗率和血压控制率分别为100%、32%。6种常用的降压药物中应用较多的是钙离子拮抗剂、血管紧张素转换酶抑制剂、β受体阻滞剂和血管紧张素Ⅱ受体拮抗剂。合并冠心病、心律失常、糖尿病和脑卒中的比例分别为6%、22%、11%和8%。84%合并有吸烟、肥胖、高血脂、糖尿病、高血压家族史等危险因素。其中吸烟控制率为32.1%,既往高脂血症患者中血清总胆固醇控制率为37.8%,血清甘油三酯控制率为25.8%,血清高密度脂蛋白胆固醇控制率为69.2%,合并糖尿病史患者中血糖的控制率为45.4%。结论:门诊高血压患者治疗率高,血压控制率低,合并的危险因素多且控制不理想,靶器官损害较多且严重,应该对合并的危险因素和并存的临床情况等进行综合防治。
Objective: To investigate the control standard of blood pressure in outpatients with hypertension, the influencing factors and the risk factors of cardiovascular diseases. Methods: 100 outpatients with hypertension were retrospectively analyzed. Age, gender, blood pressure level, family history of early cardiovascular disease, body mass index, smoking history, blood biochemistry, related target organ damage and coexisting diseases were recorded. Results: The treatment rate and the blood pressure control rate of 100 outpatients with hypertension were 100% and 32% respectively. Of the six commonly used antihypertensive drugs, calcium antagonists, angiotensin converting enzyme inhibitors, beta blockers and angiotensin II receptor antagonists are more commonly used. Coronary heart disease, arrhythmia, diabetes and stroke were associated with 6%, 22%, 11%, and 8%, respectively. 84% combined with smoking, obesity, hyperlipidemia, diabetes, family history of hypertension and other risk factors. Among them, the rate of smoking control was 32.1%. The serum total cholesterol control rate was 37.8%, the serum triglyceride control rate was 25.8% and the serum high density lipoprotein cholesterol control rate was 69.2% in patients with previous hyperlipidemia. Patients with history of diabetes The control rate of blood glucose was 45.4%. Conclusions: Outpatients with high blood pressure treatment rate, low blood pressure control rate, combined with many risk factors and control is not ideal, target organ damage more and more serious, the combined risk factors and clinical conditions should be comprehensive prevention and treatment.