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目的通过对迁安市城镇职工高血压危险因素分析,探讨相应的预防对策。方法对2007年10月~2012年9月在我院体检及门诊确诊的3987例高血压患者进行问卷调查,并建立健康档案,对高血压患者进行相关知识普及,个性化指导与社区健康教育相结合,对相关的危险因素进行分析。结果随着年龄的增长,高血压的发病率呈上升趋势;>25~45岁男性高血压患病率高于女性;>55岁女性高血压患病率高于男性(P<0.05)。年龄、超重、血糖血脂异常、高尿酸血症是主要的危险因素(P<0.05);吸烟、饮酒,尤其长期酗酒,高盐饮食、缺乏健康运动在高血压患者中所占比例明显增高,差异有统计学意义(P<0.05)。实施正确的健康引导后,高血压患者的治疗率和控制率明显提高(P<0.05)。结论迁安市城镇职工高血压患者普遍存在不健康的生活方式,不正确的认知态度,应积极推广规范化的管理方式、科学的健康指导,努力提高高血压的治疗率和控制率,以减少心脑血管事件的发生。
Objective To analyze the risk factors of hypertension in urban workers in Qian’an and to explore the corresponding preventive measures. Methods A total of 3987 hypertensive patients diagnosed in our hospital from September 2007 to September 2012 were investigated by questionnaire and health records were set up. Relevant knowledge popularization, personalized guidance and community health education were provided to patients with hypertension Combined with the analysis of the relevant risk factors. Results With the increase of age, the incidence of hypertension was on the rise. The prevalence of hypertension in men aged 25-45 years was higher than that in women. The prevalence of hypertension in> 55 years old women was higher than that in men (P <0.05). Age, overweight, dyslipidemia and hyperuricemia were the main risk factors (P <0.05). Smoking and alcohol consumption, especially chronic alcoholism, high salt diet and lack of healthy exercise were significantly increased in hypertensive patients. The difference was statistically significant There was statistical significance (P <0.05). The implementation of the correct health guidance, the treatment of patients with hypertension and control rate was significantly improved (P <0.05). Conclusion Hypertension patients living in urban areas of Qian’an City generally have an unhealthy life style and incorrect cognition. They should actively promote standardized management and scientific health guidance, and strive to improve the treatment rate and control rate of hypertension so as to reduce heart Occurrence of cerebrovascular events.