高血压合并多重心血管病危险因素的治疗现状及其影响

目的:调查门诊高血压患者血压的控制达标状况、影响因素及其合并的心血管病危险因素情况.方法:回顾性分析100例门诊高血压患者,记录年龄、性别、血压水平、早发心血管病家族史、体重指数、吸烟史、血生化指标、相关靶器官损害及并存疾病等.结果:100例门诊高血压患者治疗率和血压控制率分别为100%、32%.6种常用的降压药物中应...

Treatment Status and Effects in Hypertension Combined with Multiple Cardiovascular Risk Factors

Objective: To investigate the control state,impact factors,and cardiovascular comorbidities in clinic patients with hypertension.Methods: One hundred clinic hypertension patients were retrospectively analyzed,and age,gender,Symbol`@@blood pressure,family medical history,body mass index,smoking history,blood biochemical parameters,related target organ damage,comorbidities,etc,were recorded.Results: The treatment rate of all patients was 100% and the blood pressure control rate was 32%.Calcium antagonists,and angiotensin converting enzyme inhibitors,β-blockers,and angiotensin Ⅱ receptor antagonists were commonly used.The proportion of patients with complications of coronary heart disease,arrhythmia,diabetes and stroke were 6%,22%,11%,and 8% respectively.84% patients had one or more risk factors such as smoking,obesity,blood lipid abnormality,diabetes and family hypertension history.The control rate of smoking was 32.1%,and the control rate of TC,TG,and HDL-C respectively in the patients with hyperlipidemia history was 37.8%,25.8% and 69.2% respectively,glucose control rate in patients with diabetes history was 45.4%.Conclusion: The treatment rate of the clinic hypertension patients was high but the control rate was low,the combined risk factors were more and were not controlled satisfactory,the damage to target organ was common and serious.The comprehensive control of hypertension should include controlling both the risk factors and comorbidities.