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目的:分析某社区高血压病患者血压达标的影响因素。方法:选择在某社区卫生服务中心建档的高血压病2000例。采用问卷调查方法,由统一培训的社区专业人员进行面对面调查,内容包括性别、年龄、文化程度、病程、家族史和既往病史,以及吸烟、饮酒、体育锻炼、饮食、睡眠等情况;并对完成问卷调查者进行常规体检和血生化检测。结果:完成问卷调查、体检及血生化检查1925例,有效率96.2%。其中,血压达标759例,占39.4%;未达标1166例,占60.6%。血压达标者家族史、饮食、体育锻炼、规律服药、超重及伴有其他疾病等因素,与血压未达标者比较差异显著(P<0.05);两者年龄、性别、文化程度、病程、吸烟、超量饮酒、睡眠障碍等因素比较,差异不显著(P>0.05)。多因素Logisitic回归分析显示,体育锻炼≥120min/周和规律服药是血压达标的有利因素;嗜盐饮食、超重和伴有其他疾病是血压达标的不利因素。结论:饮食、体育锻炼、规律服药、超重及伴有其他疾病等,是某社区高血压病患者血压达标的重要影响因素,应制定有针对性的防治策略,有效控制血压。
Objective: To analyze the influencing factors of blood pressure in a community hypertensive patient. Methods: Select 2000 cases of hypertension developed in a community health service center. A questionnaire survey was conducted with face-to-face interviews conducted by a group of community-trained community professionals on gender, age, education level, course of disease, family history and past medical history, as well as smoking, drinking, physical exercise, diet and sleep. Questionnaires for routine physical examination and blood biochemical tests. Results: The completion of the questionnaire, physical examination and blood biochemical examination of 1925 cases, the effective rate of 96.2%. Among them, blood pressure reached 759 cases, accounting for 39.4%; 1166 cases did not meet the standard, accounting for 60.6%. Blood pressure reached the target family history, diet, physical exercise, regular medication, overweight and other diseases associated with factors such as blood pressure were not significantly different (P <0.05); both age, gender, education level, duration, smoking, Excessive drinking, sleep disorders and other factors, the difference was not significant (P> 0.05). Multivariate Logisitic regression analysis showed that physical exercise≥120min / week and regular medication were the favorable factors for blood pressure compliance; halophilic diet, overweight and other diseases were the adverse factors of blood pressure compliance. Conclusion: Diet, physical exercise, regular medication, overweight and other diseases are important influencing factors for achieving blood pressure compliance in hypertensive patients in a certain community. Targeted prevention and control strategies should be formulated to effectively control blood pressure.