门诊高血压病患者心血管危险分层与血压控制的研究
Relation between Cardiovascular Risk Stratification and Blood Pressure Control in Outpatient Hypertensives
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摘要: 目的 了解门诊高血压病患者的心血管危险分层与血压控制的关系。方法 :随机入选门诊原发性高血压患者10 6例 ,使用统一的表格询问和记录相关病史和检测、检查结果 ,按中国高血压防治指南的心血管危险分层方法进行分层。据危险分层的差异进行相应的治疗 ,2个月后复诊。结果 (1) 76 9%的男性患者有 2个和 2个以上的危险因素 ,而女性只有 5 7 4% (P <0 0 5 ) ;(2 )约 6 0 %高血压病患者心血管危险分层为高危和很高危 ,34 0 %为中危 ,7 5 %为低危。 (3)经过规则治疗后 ,高血压病患者血压下降至正常 ,收缩压从 16 3 77± 16 82mmHg下降到 134 5 6± 14 45mmHg ,舒张压从 94 5 5± 11 79mmHg下降为 81 2 0± 8 37mmHg(P <0 0 5 )。心血管危险分层很高危百分比下降 ,从 31 1%下降为 14 2 % (P <0 0 1)。低危百分比上升 ,从 7 5 %上升为 14 2 % (P <0 0 5 )。结论 对高血压病患者进行心血管危险分层有助于高血压及其并发症的防治Abstract: Objective To study the relationship between cardiovascular risk stratification and blood pressure control in outpatient hypertensives Methods 106 patients with essential hypertension were enrolled randomly to cardiovascular risk stratification and treatment according to the guideline of Chinese Hypertension League Results （1）76 9% male and 57.4% female patients have more than one risk factors （2）About 60% hypertensive patients were stratified at high and very high cardiovascular risk, 34 0% patients were moderate risk strtification, and only 7 5% patients were low risk strtification （3）The blood pressure and the cardiovascular risk stratification of hypertensive patients were improved after treatment Conclusion Cardiovascular risk stratification is benefit for prevention and treatment of hypertensive patients
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