Department of Police Physical Skills Training, Anhui Vocational College of Police Officers, Hefei, China.
Department of Cardiovascular Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Medicine (Baltimore). 2023 Dec 15;102(50):e36612. doi: 10.1097/MD.0000000000036612.
The study aims to explore the current status of hypertension control and its predictors in patients with hypertension in China and provide evidence for preventing and controlling hypertension. A questionnaire survey was conducted among 300 hypertensive patients who visited the Second Affiliated Hospital of Anhui Medical University from February 20, 2023 to March 11, 2023. The patients were divided into a well-controlled group and an untargeted-control group according to their hypertension control status. A total of 294 subjects, including 83 in the well-controlled group and 211 in the untargeted-control group, were included in the analysis. Multivariate logistic regression analysis showed that hypertensive patients with high BMI and family history of hypertension were risk factors for hypertension control. Married status was a protective factor for hypertension control. SVM optimized the model with γ = 0.001 and a penalty factor of C = 0.001. The prediction accuracy of the final model was 80.9%. The findings indicated that BMI, family history of hypertension, and marital status were independent predictors of blood pressure control. Further studies are warranted to illustrate potential mechanisms for improving hypertensive patients' blood pressure control.
本研究旨在探讨中国高血压患者的高血压控制现状及其预测因素,为高血压的防治提供依据。采用问卷调查的方法,对 2023 年 2 月 20 日至 3 月 11 日就诊于安徽医科大学第二附属医院的 300 例高血压患者进行调查。根据血压控制情况将患者分为血压控制良好组和未达标组。共纳入 294 例患者,其中血压控制良好组 83 例,未达标组 211 例。多因素 logistic 回归分析显示,高血压患者 BMI 高、有高血压家族史是血压控制不良的危险因素,已婚是血压控制良好的保护因素。SVM 采用 γ=0.001、C=0.001 优化模型,最终模型的预测准确率为 80.9%。研究结果表明,BMI、高血压家族史和婚姻状况是血压控制的独立预测因素。进一步的研究需要阐明改善高血压患者血压控制的潜在机制。