Analysis Of The Relevant Indicators After The Community Standardized Management In Patients With Hypertension

Objective: We analysed the biochemical indicators and blood pressure control of the patients with hypertention in a community of Shijiazhuang.All patients had been accepted the community standardized management.The objectives of our research were to study the relationship between the indicators and hypertension,to explore the effects of the metabolic syndrome and coronary heart disease of hypertension control,to find out the main risk factors and to understand the community hypertension population health status,so that we can provide a favorable basis for further strengthening community health education,preventing and controlling the high blood pressure and reducing the occurrence of the metabolic syndrome and other adverse events.Methods: A total of 1131 hypertension patients were included,all patients were selected from the Shijiazhuang community residents' health archives database of 2011-2013 primary hypertension patients.We collected the physical examination data of the filing year,the first year and second year after the standardized management.The data included gender,age,height,body weight,biochemical indicators(the fasting plasma glucose,triglyceride,cholesterol,LDLC and HDLC),whether or not combined with metabolic syndrome and coronary heart disease and other related information.Then we calculated the body mass index(BMI),all data were analyzed by using SPSS13.0.Results: 1 General demographic characteristics: A total of 1131 hypertension patients were included,the age was between 58 and 89 years old,the mean was(70.97 + 6.07)years old.There were 440 male patients with hypertension,which accounted for 38.9%,and 691 female patients with hypertension,which accounted for 61.1%,220 patients with simple hypertension,55 patients with hypertension and metabolic syndrome,789 patients with hypertension and coronary heart disease,67 patients with hypertension,metabolic syndrome and coronary heart disease.The baseline blood pressure of the research object was the systolic blood pressure(155.18 + 11.23)mmHg,diastolic blood pressure(95.17 + 5.94)mmHg.2 The analysis of factors which influenced the baseline of blood pressure value : using multiple linear regression analysis,the systolic blood pressure of the filing research object and body mass index(BMI),fasting blood sugar,triglyceride,cholesterol,low density lipoprotein cholesterol(LDLC)were positively correlated,and negatively correlated with high density lipoprotein(in HDLC),has nothing to do with cereal third transaminase,creatinine and urea nitrogen.3 Effect of community standardized management on blood pressure control: 3.1 After community standardized management,the systolic blood pressure(SBP)and diastolic blood pressure(DBP)of the patients with hypertension in the first year and second year were both decreased,and the difference was statistically significant(P<0.05).3.2 The total blood pressure control rate of hypertension in the filing year was zero.After one year of community standardized management,there are 319 persons who reached the standard,the total rate was 28.21%.While after two years of community standardized management,there are 688 persons who reached the standard,the total rate was 60.83%.The total blood pressure control rate of hypertension population was significantly increased,the blood pressure control rate of simple hypertension patients was higher than those who combined with MS or CHD,the difference is statistically significant(P<0.05).4 Effect of community standardized management on other biochemical indicators:after community standardized management,the research object of fasting blood glucose,triglyceride,cholesterol,LDLC,HDLC were decreased(P< 0.05),There was no obvious change in alanine aminotransferase(ALT),creatinine and urea nitrogen(P>0.05).Conclusions:1 The baseline of blood pressure and blood sugar,blood fat and BMI are statistically correlated.2 The community standardization management can effectively improve the systolic and diastolic blood pressure in patients with high blood pressure,and can significantly improve the blood pressure control rate of hypertension,the blood pressure control rates of the hypertensive patients who mergered the metabolic syndrome or coronary heart disease is lower than simple hypertension patients.3 The standardized management of community can effectively improve the blood pressure,blood sugar and blood fat levels in patients with hypertension.