高血压患者血压控制情况现状及相关因素分析

目的 了解西南某地高血压患者血压控制情况现状及相关因素，为制定高血压有效干预措施提供科学的参考依据。方法 以西南某地446名高血压患者作为研究对象，使用完整数据集分析、多重插补法处理缺失数据，构建基于频率logistic回归的血压控制情况模型，探索血压控制相关因素。此外，使用贝叶斯的方法进一步优化研究结果。结果2020年该地高血压患者血压控制率54.32%。多因素分析结果显示，经济中等县（OR=0.189,95%CI:0.123～0.291）、经济较不发达县（OR=0.590,95%CI:0.383～0.910）、日均食盐摄入量≥6g(OR=0.722,95%CI:0.535～0.974)是血压控制达标的危险因素。年龄不小于55岁（与年龄<55岁相比，55～<70岁OR=1.806,95%CI:1.225～2.662;≥70岁OR=2.016,95%CI:1.305～3.115）、规则服药（OR=3.604,95%CI:2.314～5.612）、接受健康教育和指导（OR=2.716,95%CI:1.703～4.330）、接受心肺听诊检查（OR=1.464,95%CI:1.0...

Analysis of current situation and influencing factors of blood pressure control in patients with hypertension

Objective To understand the current situation of blood pressure control and influencing factors in patients with hypertension in southwest China, so as to provide scientific reference for the formulation of effective intervention measures for hypertension. Methods Using complete data set analysis and multiple interpolation to deal with the missing data, a blood pressure control model based on frequency logistic regression was constructed to explore the influencing factors of blood pressure control. In addition, Bayesian method was used to further optimize the research results. Results In 2020, the blood pressure control rate of hypertensive patients in this area was 54.32%. The results of multivariate analysis showed that moderate economic counties (OR=0.189, 95%CI: 0.123-0.291), less economically developed counties (OR=0.590, 95%CI: 0.383-0.910), and average daily salt intake ≥ 6g (OR=0.722, 95%CI: 0.535-0.974) were risk factors for blood pressure control. The age not less than 55 years old (compared with the age < 55 years old, 55 to < 70 years old: OR=1.806, 95%CI: 1.225-2.662; ≥ 70 years old: OR=2.016, 95%CI:1.305-3.115), regular medication (OR=3.604, 95%CI: 2.314-5.612), health education and guidance (OR=2.716, 95%CI: 1.703-4.330), and cardiopulmonary auscultation examination (OR=1.464, 95%CI: 1.063-2.015) were protective factors for blood pressure control. Conclusion Compared with the global average, the blood pressure control rate in this area is higher. It is necessary to popularize hypertension knowledge and guide patients on regular medication, control salt intake, and take cardiopulmonary auscultation examination during follow-up or physical examination, so as to control blood pressure and reduce the major disease burden caused by hypertension. This study provides reference for other underdeveloped areas to formulate measures for the prevention and treatment of hypertension and promote health.