合肥地区冠心病患者高危因素控制情况调查

目的了解合肥地区冠心病患者高危因素控制情况。方法筛选合肥地区健在冠心病患者;221例接受随访。随访时间1年,分为PC I组和非PC I组,并对两组患者的血压、血糖、血脂、体重指数水平、吸烟情况进行调查。结果1.221例CHD患者危险因素比较,血压未达标率得到改善（P〈0.05）;总胆固醇、低密度脂蛋白、吸烟、血糖、体重指数增高的比率类似（P〉0.05）。2.PC I组收缩压增高的比率在减少（P〈0.05）;体重指数增高比率在增加（P〈0.05）;总胆固醇增高的比率在减少（P〈0.05）;低密度脂蛋白、舒张压、血糖增高的比率未得到改善（P〉0.05）;非PC I组总胆固醇、低密度脂蛋白、收缩压、舒张压、血糖、体重指数增高的比率均类似（P〉0.05）;3.PC I组与非PC I组随访时总胆固醇、低密度脂蛋白、收缩压、舒张压、血糖未达标率比较均无差异（P〉0.05）;PC I组与非PC I组随访时体重指数未达标率比较有差异（P〈0.05）。结论出院后冠心病患者血压水平得到改善,但总胆固醇、低密度脂蛋白、吸烟、血糖、体重指数水平未得到有效控制。PC I组与非PC I组危险因素控制均未得到改善,但非PC I组体重指数控制情况优于PC I组。因此需要提高冠心病患者血压、血脂、血糖、体重指数达标率,加强戒烟。

Risk factor control of coronary heart disease in a city of china

l:Aim To investigate risk factor control of coronary heart disease in Hefei.Methods Men and women who had a coronary heart disease were screened consecutively from Cardiology Department medical records in Hefei.Responders(221) were interviewed in one year.They were randomly divided into:PCI group and non-PCI group.Blood pressure,blood lipids,body mass index,blood glucose,smoking were observed in PCI group and non-PCI group.Results 221 patients were interviewed in the survey.Overall,The proportion of patients with raised blood pressure decreased(P<0.05).The proportion with raised total cholesterol,low-density lipoprotein,smoking,blood glucose,body-mass index has remained nearly the same(P>0.05).In PCI group,the proportion of patients with raised systolic blood pressure decreased(P<0.05).The proportion of patients with body-mass index increased(P<0.05).The proportion of patients with raised total cholesterol decreased(P<0.05).The proportion of patients with raised low-density lipoprotein,diastolic blood pressure and blood glucose has remained nearly the same(P>0.05).In non-PCI group,the proportion with raised total cholesterol,low-density lipoprotein,systolic blood pressure,diastolic blood pressure,blood glucose and body-mass index have remained nearly the same(P>0.05).Compared with non-PCI group,the proportion of patients with raised total cholesterol,raised low-density lipoprotein,systolic blood pressure,diastolic blood pressure and blood glucose have remained nearly the same now in PCI group(P>0.05),whereas the proportion of patients with body-mass index decreased(P<0.05).Conclusion After discharge from hospital,blood pressure was improved in patients with coronary heart disease,but their total cholesterol,low-density lipoprotein,smooking,blood glucose and body-mass index were not improved.Coronary heart disease risk factors were not improved in both PCI group and non-PCI group.But the proportion of patients with body-mass index in non-PCI group was smaller than that of PCI group.We should enhance standard rate of blood pressure,blood lipids,blood glucose,body mass index these patients and persuade them into quitting smaking.