[1]梁翠丹 罗且宁 欧阳范献.1521例高血压合并血脂异常住院患者特征分析[J].大众科技,2022,24(03):59-62.
　Analysis of Characteristics of 1521 Hospitalized Patients with Hypertension Complicated with Dyslipidemia[J].Popular Science & Technology,2022,24(03):59-62.
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1521例高血压合并血脂异常住院患者特征分析()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
24
期数:
2022年03
页码:
59-62
栏目:
医药与卫生
出版日期:
2022-03-20

文章信息/Info

Title:
Analysis of Characteristics of 1521 Hospitalized Patients with Hypertension Complicated with Dyslipidemia
作者:
梁翠丹1 罗且宁1 欧阳范献2　
（1.海南医学院公共卫生学院，海南 海口 570100； 2.海南医学院第二附属医院医院，海南 海口 570100）
关键词:
高血压; 血脂异常; 分布; 相关分析
Keywords:
hypertension dyslipidemia distribution correlation analysis
文献标志码:
A
摘要:
目的：了解高血压合并血脂异常住院患者的分布特征及探索血压与血脂的相关性，为高血压合并血脂异常人群控压、控脂提供依据。方法：收集海口市某三甲医院1521例高血压合并血脂异常住院患者的基本信息、血压、血脂检验等结果，用统计描述的方法分析患者的人群分布特征，用秩相关分析血压与血脂的相关性，使用的统计软件为SPSS22.0。结果：1521例患者中女性占52.7%，62.9%的患者年龄在60～79岁之间。50.6%的患者高血压病程在0～5年间，89.4%的患者首次诊断高脂血症。有糖尿病、慢性肾病、脑梗死史、冠心病史、房颤史的患者占比分别51%、15.3%、47.5%、19.3%、3.7%。有吸烟、饮酒史患者占比分别为17.6%、10.7%。男性有慢性肾病史、吸烟史、饮酒史明显高于女性，而女性的糖尿病患者的构成比更高（P＜0.05）。只有38.9%的患者规律服用降压药物。规律降压治疗患者的收缩压、舒张压比未规律降压治疗患者低（P＜0.05）。收缩压、舒张压都与总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇有关联，但相关性意义不大（r＜0.2，P＜0.05）。结论：高血压合并血脂异常住院患者以老年人为主，规范服用降压药物率低，可伴糖尿病、脑梗死、冠心病。规律服用降压药物是控压的重要手段。
Abstract:
Objective: To understand the distribution characteristics of hospitalized patients with hypertension complicated with dyslipidemia and explore the correlation between blood pressure and blood lipids, so as to provide basis for blood pressure and lipid control in patients with hypertension complicated with dyslipidemia. Methods: The basic information, blood pressure and blood lipid test results of 1521 hospitalized patients with hypertension complicated with dyslipidemia in a third class hospital in Haikou were collected. The population distribution characteristics of patients were analyzed by statistical description method, and the correlation between blood pressure and blood lipid was analyzed by rank correlation. The statistical software was SPSS22.0. Results: Among 1521 patients, 52.7% were female, and 62.9% were aged between 60 and 79 years. The course of hypertension in 50.6% of patients was 0 to 5 years, and 89.4% of patients were diagnosed with hyperlipidemia for the first time. Patients with diabetes, chronic kidney disease, history of cerebral infarction, history of coronary heart disease, and atrial fibrillation accounted for 51%, 15.3%, 47.5%, 19.3%, 3.7% respectively. The proportion of patients with smoking and drinking history was 17.6% and 10.7% respectively. Male patients with chronic kidney disease, smoking history and drinking history were significantly higher than women, while female patients with diabetes had a higher constituent ratio (P<0.05). Only 38.9% of patients took antihypertensive drugs regularly. The systolic blood pressure and diastolic blood pressure of patients with regular antihypertensive treatment were lower than those without regular antihypertensive treatment (P<0.05). Systolic blood pressure and diastolic blood pressure were correlated with total cholesterol, high-density lipoprotein cholesterol and low-density lipoprotein cholesterol, but the correlation is not significant(r<0.2, P<0.05). Conclusion: Hypertensive patients with dyslipidemia are mainly elderly people, and the rate of standardized use of antihypertensive drugs is low, which can be associated with diabetes, cerebral infarction and coronary heart disease. Taking antihypertensive drugs regularly is an important means of pressure control.

参考文献/References:

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备注/Memo

备注/Memo:
【收稿日期】2021-11-28 【基金项目】2020年海南省普通高等学校研究生创新科研课题（Hys2020-380）。 【作者简介】梁翠丹（1995－），女，海南医学院在读硕士研究生，研究方向为临床流行病学与循证医学。 【通信作者】欧阳范献（1964－），男，海南医学院第二附属医院医院感染管理和疾病预防控制科主任技师，硕士研究生导师，博士，研究方向为临床流行病学与循证医学，慢性病管理。
更新日期/Last Update: 2022-06-21