Discussion On Hypertension: How To Prevent And Treat It In Community?

Objective In order to find the prevalence of hypertension and its risk factors in shengbei community, the resident aged above 18 years was investigated. Measures to control the risk factors were made and the interfered results were evaluated after one year. Method Residents aged above 18 years were surveyed by clinical interview with BP,FBG,BPG,lipid,urid acid measurement and answering the questionnaire.Lifestyles and habits such as smoking, drinking were investigated, measures were made and taken to control the risk factors.Interfered results were evaluated after one year,then the effective measures to prevent and treat hypertension were evaluated and provided. Results 1 A cohort of 35649 subjects were enrolled, 6067(17%) of them were diagnosed as hypertension, the male and female prevalence were 17.4% an16.6 %( the difference between them were no significant, P>0.05). Residents aged above 60 years old were 4706, the male and female prevalence were 76.7% and 75.1% (the difference between them was no significant (P>0.05).Rate awareness, treatment, controlling were 61.2%, 58.4%, 4.5% respectively. Systolic pressure was increased by age. Age, blood pressure ,weight, body mass index, blood glucose, uric acid and blood lipid were higher in hypertension group than those in normal blood pressure group.There were more people smoking and fewer people did physical exercise in hypertension group.There were more people had diabetes mellitus and hypertension family history in hypertension group.Hypertension group intook more food and satured fat than normal blood pressure group, while less vegetable, fruit and beans were intaken in the hypertension group.More residents had family and life pressure in hypertension group than those in normal blood pressure group, (the difference between them was significant(P<0.05).2 For hypertension group,having been interfered for one year, the values of weight, body mass, systolic pressure, diastolic pressure, pulse pressure, fasting glucose, glucose at 2 hours after eating, uric acid and triglyceride are significantly decreased. More smokers quitted smoking and more residents did physical exersise, less residents were influenced by family pressure. While in female hypertension group, less residents were influenced by secondhand smoke and their weight were decreased significantly(P<0.05).3 The values of systolic pressure, triglyceride, and cholesterol in male no hypertension group were increased significantly after one year. On the contrary, those values in femaleno hypertension group were decreased significantly. More people in male no hypertension group did less physical exercise and influenced by occupational and family pressure. More vegetable, milk, beans and fruit were consumed in no hypertension group after one year(P<0.05) .Conclusion The prevelance of hypertension of residents in Shengbei community ShengLi Oilfield is high, while the rate of awareness, treating and controlling are lower. The effective measures having been made and carried out according to the condition of residents in Shengbei community, the risk factors were controlled in some degree and biochemical markers were improved. The rate of awareness, treating and controlling are improved. It is practical to prevent and treat hypertension in community, but the strategy should be adjusted according the facts in order to get better results.