【摘要】 目的:探讨林芝市农牧民高血压病患病情况和相关影响因素,及健康管理体系的高血压健康管理的效果。方法:选择西藏林芝市常住农牧民为研究对象,收集1146例患高血压病患者参加本次研究,根据是否建立健康管理体系,将其分为对照组892例,管理组254例。经集中调查和入户调查等方式,收集所有患者临床基本资料和评估指标,同时建立健康管理体系。并运用SPSS17.0统计软件处理,以高血压病为因变量,其他赋值为变量,行Logistic多因素回归分析,探讨林芝市高血压病的危险因素。结果:此次共计1146例高血压病患者,其中男性630例,女性516例,高血压患病率为6.66%;对照组与管理组在血压(SBP、DBP)、血糖(FPG、HbAlc)、血脂(TC、TG、HDL-c、LDL-c)上,比较有显著差异(P<0.01),同时在高血压知晓率、治疗率、控制率上也有差异(P<0.05);Logistic多因素回归分析,年龄、BMI、高血脂、高血糖、高盐饮食及高血压家族史等6方面为林芝市农牧民患高血压病的独立危险因素(P<0.05)。结论:该地区农牧民高血压患病率较高,建立健康管理体系对防治高血压具有积极意义。更多还原

【Abstract】 Objective:To explore the prevalence of hypertension in farmers and herdsmen in Linzhi City and its related influencing factors,and the effect of health management system on hypertension health management.Methods:1146 patients with hypertension were divided into control group(n=892)and management group(n=254)according to whether to establish the health management system.Through centralized investigation and household investigation,the basic clinical data and evaluation indexes of all patients were collected,and the health management system was established.Using spss17.0 statistical software,taking hypertension as dependent variable and other assigned variable as variable,Logistic multivariate regression analysis was carried out to study the risk factors of hypertension in Linzhi.Results:A total of 1146 hypertensive patients,including 630 cases of male,516 cases female,the prevalence rate of hypertension was 6.66%.There was a significant difference in blood pressure(SBP,DBP),blood sugar(FPG,HbAlc),blood lipid(TC,TG,HDL-c,LDL-c)between the control group and the management group(P<0.01),and there was also a difference in the awareness rate,treatment rate and control rate of hypertension(P<0.05).Logistic multivariate regression analysis showed that the age BMI,hyperlipidemia,hyperglycemia,high salt diet and family history of hypertension were the independent risk factors of hypertension for farmers and herdsmen in Linzhi city(P<0.05).Conclusion:The prevalence rate of hypertension among farmers and herdsmen in this area is high.It is of positive significance to establish health management system for prevention and treatment of hypertension.更多还原