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北京市军队干休所80岁以上老年人1002例高血压及治疗现状调查

发布时间:2019-06-08 08:36
【摘要】:目的调查分析北京市军队干休所80岁以上老年人高血压的患病率、知晓率、服药率、控制率、治疗现状及伴随的心脑血管病、糖尿病等疾病的患病率。方法入户调查北京市28个军队干休所80~99岁的老年人1002例,测量血压,按调查表收集所需相关资料,并查阅干休所门诊部的体检表或定点医院的住院病历,进行分析总结。结果1002例中,高血压患者673例,患病率为67.17%,其中单纯收缩期高血压(ISH)455例,占高血压的67.61%;高血压的知晓率为91.08%,服药率为78.60%,控制率为60.03%;高血压组患者的冠心病、脑血管病、痴呆、致残、肾功能不全、高胆固醇血症、糖尿病、糖耐量减低的发生率明显高于非高血压组。结论北京市军队干休所80岁以上老年高血压患者中以ISH为主,高血压患病率高,知晓率、服药率及控制率也高,药物治疗以服用钙拮抗剂为主,积极治疗和控制高血压对提高老年患者的生活质量和远期生存率具有重要意义。
[Abstract]:Objective to investigate and analyze the prevalence, awareness rate, medication rate, control rate, treatment status and the prevalence of cardiovascular and cerebrovascular diseases, diabetes mellitus and other diseases in the elderly over 80 years old in Beijing military dry rest Institute. Methods 1002 elderly people aged 80 years and 99 years old in 28 military rest centers in Beijing were investigated. Blood pressure was measured, the relevant data were collected according to the questionnaire, and the physical examination table of outpatient clinic or hospitalization medical records of designated hospitals were consulted and analyzed and summarized. Results of the 1002 cases, 673 cases were hypertension, the prevalence rate was 67.17%, of which 455 cases were simple systolic hypertension (ISH), accounting for 67.61% of hypertension. The awareness rate of hypertension was 21.08%, the medication rate was 78.60%, and the control rate was 60.03%. The incidence of coronary heart disease, cerebrovascular disease, dementia, disability, renal insufficiency, hypercholesterol, diabetes and glucose tolerance in hypertension group was significantly higher than that in non-hypertension group. Conclusion among the elderly patients over 80 years old in Beijing military dry rest Institute, ISH is the main cause of hypertension, the prevalence of hypertension is high, the awareness rate, the rate of medication and control are also high, and the drug treatment is mainly treated with calcium antagonists. Active treatment and control of hypertension is of great significance to improve the quality of life and long-term survival rate of elderly patients.
【作者单位】: 首都医科大学附属北京安贞医院十二病房 解放军第三○六医院干部病房 首都医科大学附属北京安贞医院十二病房 首都医科大学附属北京安贞医院十二病房 河北省冀州市医院内一科 首都医科大学附属北京安贞医院十二病房 国防大学门诊部 解放军第三○七医院内科
【基金】:中央保健办保健基金资助项目(B010)
【分类号】:R82

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