Lin Yun, Zuo Hui-juan, Feng Chun-rong, Zhang Juan, Liu Shu-qian, Yang Xiao-hui, Chen Yun-dai, Zhang Jin-rong, Lu Shu-zheng, Yao Chong-hua
Beijing An Zhen Hospital, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijng 100029, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2007 Mar;41(2):122-5.
To study hypertension control, follow up and the factors associated with the rate of hypertension control.
Through a community-based study, the routine data were collected through a community hypertension managing software for one year.
There were 3375 hypertension patients above 60 years old recruited in the information system. In the baseline, the rate of blood pressure control was 63.5%, and arranging intervals up to 6 months was 66.9%. Hypertension control rate for the baseline, the third month and the sixth month was 61.8%, 62.4% and 61.6%, respectively (chi2 = 0.16, P = 0.69). Among hypertensives whose blood pressure was stabilized in baseline, hypertension control rates for the third month and the sixth month was 72.9.8% and 72.1%, respectively (chi2 = 0.26, P = 0.61). Blood pressure stabilized over 6 months in comparing with others, and the proportion for regular taking medication was 96.2% and 97.7% (chi2 = 3.58, P = 0.06). The proportion for physical activity, less salt intake, weight control was significantly higher in the patients whose blood pressure control well over 6 month.
Rate of blood pressure control among elderly patient with hypertension who frequently consults the doctor in the community is high. Ineffectiveness in systolic and diabetes control is the important factor, which decreases the rate of blood pressure. Physical activity, less salt intake, and weight control are of help to hypertension control. For those, the blood pressure are stabilized, a follow up with 3 to 6 months interval is appropriate.
研究高血压的控制、随访情况以及与高血压控制率相关的因素。
通过一项基于社区的研究，利用社区高血压管理软件收集了一年的常规数据。
信息系统纳入了3375例60岁以上的高血压患者。基线时，血压控制率为63.5%，安排随访间隔长达6个月的比例为66.9%。基线、第三个月和第六个月的高血压控制率分别为61.8%、62.4%和61.6%（χ² = 0.16，P = 0.69）。在基线血压稳定的高血压患者中，第三个月和第六个月的高血压控制率分别为72.9%和72.1%（χ² = 0.26，P = 0.61）。与其他患者相比，血压稳定超过6个月的患者规律服药的比例分别为96.2%和97.7%（χ² = 3.58，P = 0.06）。血压控制良好超过6个月的患者进行体育活动、减少盐摄入、控制体重的比例显著更高。
在社区中经常就诊的老年高血压患者的血压控制率较高。收缩压控制不佳和糖尿病是降低血压控制率的重要因素。体育活动、减少盐摄入和控制体重有助于高血压的控制。对于血压稳定的患者，每隔3至6个月进行一次随访是合适的。
