关键词: 高血压, 横断面研究, 社区卫生中心, 危险因素

Abstract: Objective：To investigate current situation of blood pressure control in patients with hypertension in 22 community health centers of Shenzhen Futian District, and to find out related factors which affect blood pressure control. Methods: In the study, 10 020 cases with essential hypertension that had been registered in 22 Community Health Centers were selected as cases for the survey. The questionnaires, physical examinations, and laboratory tests were used to obtain the patients’ baseline data. Results: The mean blood pressure (median) levels were 142/86 mmHg (1 mmHg=0.133 kPa). Those of the males were higher than those of the females (142/86 mmHg vs. 140/85 mmHg, Z_SBP=-6.14，Z_DBP=-9.93，P<0.001), the systolic blood pressure increased with age. The overall blood pressure control rate was 40.2%. The blood control rates were different with different gender, body mass index (BMI) and waist circumference. The majority of the patients took single antihypertensive drug, and the proportion accounted to 54.4%. Regression analysis showed that gender, age, hyperlipidemia, smoking, and waist circumference were the main factors that affected blood pressure control. Conclusion: The blood control rate was low in these communities. Patients with high blood pressure often merge a variety of factors that affect blood pressure control, and at the same time of antihypertensive therapy for the patients, we should pay attention to the control of these factors.
Hypertension; Crosssectional studies; Community health centers; Risk factors

Key words: Hypertension, Cross-sectional studies, Community health centers, Risk factors