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目的:了解中国部分城市医院门诊高血压患者的基本情况、危险分层和降压达标率。方法:在北京、上海、广州100家医院,入选年龄35~85岁、性别不限、原发性高血压门诊患者25336例。调查患者生活习惯、疾病史、危险因素、用药情况及检查血压、身高、体重、腰围等。结果:25336例患者,平均年龄(63.6±11.5)岁,男性占51.8%,有心血管病病史占39.2%,糖尿病为20.3%,心房颤动史为9.6%,左室肥厚为19.7%,正在吸烟者为17.6%。基线血压平均(139.3±18.6)/(82.3±12.0)mmHg(1 mmHg=0.133 kPa);危险分层高危/很高危占72.1%;降压药物使用率占97.7%(其中钙拮抗剂为55%);联合降压治疗占65.1%;血压达标率为39.3%。结论:本组门诊高血压患者为心血管病发生的高危人群,降压药使用率高,但达标率不高。
Objective: To understand the basic situation of outpatients with hypertension in some urban hospitals in China, risk stratification and compliance rate. Methods: 100 hospitals in Beijing, Shanghai and Guangzhou were enrolled in this study. The age ranged from 35 to 85 years. There were 25,336 primary hypertension hypertensive outpatients. Investigate the patient’s lifestyle, disease history, risk factors, medication and blood pressure, height, weight, waist circumference and so on. Results: The average age of 25336 patients (63.6 ± 11.5) was 51.8%, with a history of cardiovascular disease accounting for 39.2%, diabetes mellitus 20.3%, atrial fibrillation history 9.6% and left ventricular hypertrophy 19.7% 17.6%. Baseline blood pressure averaged (139.3 ± 18.6) / (82.3 ± 12.0) mmHg (1 mmHg = 0.133 kPa); risk stratified high-risk / high-risk accounted for 72.1%; antihypertensive drug use accounted for 97.7% (of which calcium antagonist was 55% ); Combined antihypertensive treatment accounted for 65.1%; blood pressure compliance rate was 39.3%. Conclusion: Hypertension patients in this group are at high risk of cardiovascular disease. The use rate of antihypertensive drugs is high, but the compliance rate is not high.