The Clinical Research Of Hypertension With Risking Factors

Hypertension is recognized as one of the most important risk factors of cardiovascular disease around the world. Several large-scale researches conducted by China have shown that the male hypertension prevalence rate was higher than the female, and both advanced along with the age gradually increases. High rate of hypertension and its variety of serious complications have harmed Chinese national health, which would become a major burden on our society. Therefore, hypertension is not only a medical problem, but also has become the important public health problem that relates to the National Health and increases the social burden. What we concern particularly is that the standard of blood pressure in hypertensive patients in our country is only 6.1%[3]. The data above shows that it is health workers responsibility to carry out comprehensive prevention and treatment for hypertension in communities and to strengthen health education and behavior intervention. Aim:To focus on prealence ,the rate of awareness of the disease in patients with hypertension and the situation of the use of the drug and related risk factors, to clear and definite patients'misunderstanding in the treatment of hypertension, to guide targeted health education in the future.Methods:1. Sampling method:①Taking the entire cluster random sampling method for patients in hospital: to select randomly 574 cases of hypertensive patients from 2010 to 2011 as samples.②The origin of the outpatient: 758 cases of outpatients in our hospital from September to December in 2010.2. Epidemiology investigation: Inpatient and outpatient: Inquiry content included individual subject's general condition, such as age, sex, causes of Treatment, risking factors, such as smoking, hyperlipidemia, diabetes, target organ damage, such as kidney disease, heart disease, cerebrovascular disease, vascular disease, prevalence of hypertension, the rate of awareness of the disease and the situation of the use of the drug.3. Diagnosis criteria: Under the case of not taking antihypertensive drugs, the average of blood pressure determination is got by testing 2 or 2 more times in different days. (SBP≥140mmHg,DBP≥90mmHg).4. Statistics methods: Establish a database, inputting the raw data and finishing and checking the data. And then useχ~2 test。Result:Part 1: (1)The rate of the consciousness of hypertension, rate of hypertension and the rate of treatment: Among the 758 cases of the inpatients, there are 193 hypertensive patients. The rate of the consciousness of hypertension, hypertension and treatment are 25.46%,75.65% and62.18%. The male hypertension prevalence rate was higher than the female. There were statistical differences. Both advanced along with the age gradually increasing. The male prevalence rate of the disease was higher than female in the age of 30～50. However, the female prevalence rate of the disease was higher than the male after 50 years old. (2)The causes of the treatment: The major of the inpatient and the outpatient get treatment due to the damage of the target organ, in which there are only one of ten is due to hypertension to get treatment. (3)The risking factors: In the study about the inpatient, among the hypertensive patients, the prevalence rate of diabetes is 22.65%, which is obviously higher than the prevalence rate of diabetes in urban in our country. The rate of the male patients with smoking, alcohol consumption was significantly higher than those of female. The patients with increased blood lipids take 56.97 percent of them. The female patients take 61.74 percent of all the female patient. The male patients take 50.57 percent of all male patient. The patients with increased uric acid take 23.52 percent of them. The female patients take 17.04 percent of all female patients. The male take 31.18 percent of all male patients. From that, for the male patients, we can see that they have other risking factors except diabetes and increased blood lipids compared with the female patients.Part 2: The damage of the target organ: The prevalence rate of hypertensive patients with target organ damage is 37.8%.Among them, the male is 40.96%, and the female is 40.96%.Useχ~2 tses,χ~2=0.6105,P>0.05 .There was no statistical difference. The inpatient with target organ damage is 87.8%. Among them, heart disease is more common. Because the samples I take are based on the patients in the Cardiology in our hospital, the data has its specificity. Considering it, that reason would also be one of the important factors for thatresult.Part 3: The situation of the use of the drug in the hypertensive patients: The highest rate of the drug the inpatients and t outpatients is CCB, and the following areβ-blocker,ACEI,ARB. The rate of diuretic use is very low. From the statistics, we can see that recently the majority of the inpatients and outpatients have take standard antihypertensive drugs which has got consensus around the world. The rate of standard use of the drug after the treatment in hospital has reached 100%,and the use ofβ-blocker ,ACEI and diuretic has incressed.It's scientific and reasonable.Conclusion:1.The rate of hypertension, the consciousness of hypertension and treatment about outpatients are 25.46%,75.65%,62.18%. 2. The rate of male outpatients and the female outpatients are 32.55% , 21.87%. The male hypertension prevalence rate was higher than the female, and the rate of the treatment is lower than that of the female. There are statistical differences. 3. The number of the hypertensive patients would advance along with the age gradually increasing. The male prevalence rate of the disease was higher than female in the age of 30～50. However, the female prevalence rate of the disease was higher than the male after 50 years old. 4. The hypertensive patients with diabetes is 22.65%, which is obviously higher than the prevalence rate of diabetes in urban in our country. The rate of the male patients with smoking, alcohol consumption and increased blood lipids was significantly higher than those of female. 5. There is no statistical difference about sex among the hypertensive patients with target organ damage. The rate of the inpatient with target organ damage is 87.8%. Among them, heart disease is more common. 6. The highest rate of the drug the patients used is CCB, and the following areβ-blocker,ACEI,ARB. The rate of standard use of the drug after the treatment in hospital has reached 100%.However, the highest rate of the use of drug is still CCB,the use ofβ-blocker and ACEI has incressed.It's scientific and reasonable.7. The major of the inpatient and the outpatient get treatment due to the damage of the target organ, in which there are only one of ten is due to hypertension to get treatment.