天津市河东区社区高血压控制现状及其影响因素分析

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摘要目的分析天津市河东区社区高血压患者血压控制现状及其影响因素,为后续社区高血压管理策略的制定提供参考。方法 2018-09至2019-06采用整群随机抽样方法从天津市河东区的四个社区选取高血压患者4 093例,根据患者血压水平分为血压达标组(血压＜140/90 mmHg)和血压未达标组(血压≥140/90 mmHg),收集两组的人口学特征、体格检查、既往病史等资料,对两组血压控制率及影响因素进行分析。结果最终入组符合条件的社区高血压患者3 962例,其中血压达标组2 314例(58.4%),血压达标组在性别、文化程度、收入水平、吸烟、体重指数(BMI)、社会保险、糖尿病及高脂血症比例与血压未达标组比较,差异有统计学意义(P<0.05)。Logistic多元回归分析显示,收入水平(OR=1.119,95%CI:1.005~1.246,P=0.04)、吸烟(OR=0.852,95%CI:0.784~0.927,P<0.001)、BMI(OR=0.868,95%CI:0.758~0.994,P=0.041)、高脂血症(OR=0.736,95%CI:0.639~0.850,P<0.001)与高血压患者血压控制率独立相关。结论天津市河东区社区高血压患者的控制率偏低,需加强对社区高血压患者的管理,有效控制相关危险因素,以进一步减少心血管疾病的发生。

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	郝芳
	蔡伟
	张晓宁
	王涛
	王晓静
	陈少伯
	杨国红

关键词 ：城市社区, 高血压, 控制率, 影响因素

Abstract：Objective To analyze the current situation of blood pressure control and its influencing factors among community hypertension patients in Hedong district of Tianjin, and provide reference for the subsequent formulation of community hypertension management strategies. Methods A total of 4093 hypertension patients selected from four communities in Hedong district of Tianjin by cluster random sampling method were divided them into two groups based on their blood pressure levels: blood pressure control group (blood pressure＜140/90 mmHg) and blood pressure non-control group (blood pressure≥140/90 mmHg). Demographic characteristics, physical examination data and past medical history of the two groups were collected. Blood pressure control rate and influencing factors of the two groups were analyzed. Results A total of 3962 eligible community hypertension patients were included in the study, including 2314 patients (58.4%) in the blood pressure control group. Compared with the blood pressure non-control group, the blood pressure control group had statistically significant differences in gender, education level, income level, smoking, body mass index (BMI), social insurance, diabetes, and hyperlipidemia (P<0.05). Logistic multivariate regression analysis showed that income level (OR=1.119, 95%CI:1.005~1.246, P=0.04), smoking (OR=0.852, 95%CI:0.784~0.927, P<0.001), BMI (OR=0.868, 95%CI: 0.758~0.994, P=0.041), and hyperlipidemia (OR=0.736, 95%CI:0.639~0.850, P<0.001) were independently associated with the blood pressure control rate of hypertension patients. Conclusions The control rate of hypertension patients in Hedong district of Tianjin is low, so it is necessary to strengthen the management of hypertension patients in the community and effectively control the related risk factors to further reduce the incidence of cardiovascular diseases.

Key words： urban community hypertension control rate influencing factors

收稿日期: 2024-11-18

ZTFLH:

R544

基金资助:天津市卫生健康科研项目(TJWJ2023MS050);国家重点研发计划项目(项目编号:2017YFC1307600,课题编号:2017YFC1307602)。

通讯作者: 杨国红,E-mail:hong-20020@163.com

作者简介: 郝芳,本科学历,主管护师。

引用本文:

郝芳, 蔡伟, 张晓宁, 王涛, 王晓静, 陈少伯, 杨国红. 天津市河东区社区高血压控制现状及其影响因素分析[J]. 武警医学, 2025, 36(4): 277-280. HAO Fang, CAI Wei, ZHANG Xiaoning, WANG Tao, WANG Xiaojing, CHEN Shaobo, YANG Guohong. Analysis of hypertension control situation and its influencing factors in Tianjin urban community. Med. J. Chin. Peop. Armed Poli. Forc., 2025, 36(4): 277-280.

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https://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 https://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2025/V36/I4/277

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