论文部分内容阅读
目的 探讨 10 79名职工 15年的血压变化情况和高血压药物治疗的效果。方法 参照全国高血压抽样调查的有关标准 ,对 6个基层单位 10 79名职工于 1983年和 1998年分别进行了血压调查。结果 (1)血压均值 :收缩压男升高 2 2mmHg ,女升高 16 .9mmHg ;舒张压男升高 11mmHg ,女升高 12 .7mmHg(P <0 0 5 ) ;(2 )高血压患病率升高 2 6 .1% ,其中男升高 2 5 .0 3 % ,女升高 2 8.2 8% (p <0 0 5 ) ;(3)正常血压者 15年内有 2 7.9%成为高血压 ,年发病率 1.86 % ;临界高血压者 72 .6 %成为高血压 ,年发病率 4.84% ;(4 )高血压控制率 2 .9%。⑤高血压与脑卒中发病率密切相关 (P <0 0 0 1) ;(6 )高血压服药率 46 .6 % ,服药种类以复方降压片为主 ,占 2 5 .2 % ;(7)服药治疗对高血压控制和脑卒中发病率均无显著影响 (P >0 0 5 )。结论 该人群血压均值和高血压发病率均随年龄增长显著升高 ,高血压控制率低 ,脑卒中患病率高 ,药物治疗效果差。应大力开展高血压防治知识的宣传 ,增强保健意识 ;加强对基层高血压病人服药的监控 ,进一步提高高血压管理率和控制率
Objective To investigate the changes of blood pressure in 10 79 workers and the effect of treatment with hypertension drugs. Methods According to the relevant standards of national sample survey of hypertension, 1,079 workers in 6 grassroots units conducted blood pressure surveys in 1983 and 1998 respectively. Results (1) mean blood pressure: systolic blood pressure increased 2 2mmHg, female increased 16.9mmHg; diastolic blood pressure male increased 11mmHg, female increased 12.7mmHg (P <0 05); (2) hypertension The rate of increase was 26.1%, of which male was increased by 25.0% and female was increased by 28.28% (p <0.05); (3) normotensive patients were hypertension , The annual incidence of 1.86%; critical hypertensive patients 72.6% become hypertensive, the annual incidence of 4.84%; (4) hypertension control rate of 2.9%. (5) Hypertension was closely related to the incidence of stroke (P <0.01); (6) Hypertensive medication rate was 46.6%; the medication type mainly consisted of compound antihypertensive tablets, accounting for 25.2%; (7) There was no significant difference in medication control between hypertension control and incidence of stroke (P> 0.05). Conclusion The mean blood pressure and the incidence of hypertension in this population are both significantly increased with age, with low control of hypertension, high prevalence of stroke and poor efficacy of drug treatment. Should be vigorously carry out advocacy of knowledge and prevention of hypertension, enhance awareness of health care; strengthen the grassroots hypertensive patients taking the drug control, to further improve the rate of hypertension management and control