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目的:了解安徽中部地区企事业单位高血压患者的血压控制状况及用药情况。方法:采用随机整群抽样的方法,选取2008-08月在安徽省立医院健康体检中心体检的41家企事业单位职工2019例,现场测量血压,并进行高血压患病及用药情况问卷调查。结果:高血压患者共计599例,患病率为29.7%。85例血压<140/90mmHg(1mmHg=0.133kPa),控制率为14.2%;血压≥140/90mmHg中青年职工人群以舒张压未控制以及舒张压和收缩压均未控制为主。高血压患者中服药184例,48例血压<140/90mmHg,服药率和服药控制率分别为30.7%、26.1%;服药患者中64.5%使用单一降压药物治疗,24.4%使用复方制剂,11.1%使用联合治疗;服用率较高降压药物为钙拮抗剂(53.5%)和复方制剂(27.3%),β受体阻滞剂(3.5%)和利尿剂(1.7%)服用率较低。结论:安徽中部地区单位职工高血压发病率较高而服药率和控制率较低,且用药方案与《中国高血压防治指南》要求存在一定差距,建议加强这一人群的健康干预以及基层医师的继续教育。
Objective: To understand the situation of blood pressure control and medication in hypertensive patients in enterprises and public institutions in central Anhui Province. Methods: A total of 2019 workers from 41 enterprises and institutions in the physical examination center of Anhui Provincial Hospital from 2008 to August were selected. The blood pressure was measured on site and the prevalence of hypertension and drug use were investigated. Results: A total of 599 patients with hypertension, the prevalence was 29.7%. 85 cases of blood pressure <140 / 90mmHg (1mmHg = 0.133kPa), the control rate was 14.2%; blood pressure ≥ 140/90 mmHg young workers in the population did not control the diastolic pressure and diastolic blood pressure and systolic blood pressure were not controlled. 184 cases of hypertensive patients took medication, 48 cases of blood pressure <140 / 90mmHg, medication and medication control rates were 30.7%, 26.1%; 64.5% of patients taking a single antihypertensive drug treatment, 24.4% (53.5%) and combination therapy (27.3%), β-blockers (3.5%) and diuretics (1.7%) were used at lower rates. Conclusion: The incidence rate of hypertension and medication rate and control rate of workers in central Anhui province are relatively low. There is a certain gap between the medication regimen and the requirements of “Guide for Prevention and Treatment of Hypertension in China”. It is suggested that health intervention in this population should be strengthened and that of grassroots physicians Continuing Education.