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目的调查新乡农村地区高血压病患者的高血压相关知识普及、用药现状、并发症及经济卫生情况,为制定该病的防治策略提供参考依据。方法调查新乡市四区八县的数十个村庄已确诊的高血压患者,对每个调查对象进行全身体格检查(包括血压、心电图、眼底、尿常规等),并发放调查问卷2000余份,内容包括病人的基本情况、高血压病防治知识问答、高血压病治疗药物调查、并发症调查及经济情况调查等5个方面问题,指导完成问卷填写。调查结果资料完整者有1119人。结果农村患者对高血压的诊断标准、危险因素及并发症的知晓情况相当差。用药选择上不合理,能坚持经常服药者仅占35.9%。高血压病的心、脑、肾并发症发生率分别为69%、39.8%、17.1%,部分家庭因治病返贫。结论本地区农村高血压防治知识的普及势在必行;用药亟待规范;并发症发生率之高不能忽视,并由此产生了巨大的经济损失。
Objective To investigate the prevalence of hypertension-related knowledge, medication status, complications and economic and health conditions in patients with hypertension in rural areas of Xinxiang to provide reference for the prevention and treatment of the disease. Methods Investigate hypertensive patients diagnosed in dozens of villages in eight districts and counties in four districts of Xinxiang City, and conduct physical examination (including blood pressure, electrocardiogram, fundus, urine routine, etc.) on each subject, and issue more than 2,000 questionnaires, Content includes the basic situation of patients, hypertension prevention and control knowledge quiz, hypertension drug treatment investigation, complications investigation and economic situation investigation five aspects, guide the completion of the questionnaire. Findings of the information integrity of the 1119 people. Results The diagnosis of hypertension in rural patients, risk factors and complications of the situation is quite poor. Medication choice is unreasonable, can insist on regular medication only 35.9%. Hypertension heart, brain, kidney complications were 69%, 39.8%, 17.1%, some families return to poverty due to treatment. Conclusion The popularization of prevention and treatment of hypertension in rural areas of our country is imperative. The medication should be regulated urgently. The high incidence of complications can not be neglected, resulting in huge economic losses.