The Epidemiological Survey Of Hypertension And Analysis Of Anti-hypertension Drug Treatment In Mine Workers In Feicheng Mining Area,Shandong Province

BackgroundNowadays hypertension is one of the most common cardiovascular disease all over the world. It can bring serious damage to multiple body systems and organs. In recent years, the prevalence of hypertension showed a trend of continuously increasing, and its serious social harm has attracted wide attention. Understanding the epidemiological features of hypertension, developing effective prevention and treatment measurements has become the focus of cardiologists. Different locations shows different hypertension epidemiological characteristics in China. With the improvement of people’s living standard, coal miners’lifestyle and diet structure changes year by year, but there are few reports about the difference in the pathogenesis, treatment, prevention and other aspects of hypertension in the miners. So epidemiological investigation of hypertension in coal miners has an important guiding significance for understanding the pathogenesis and treatment of hypertension in Chinese coal miners, how we prevent and treat hypertension according to miners characteristics, and helping the relevant departments pay attention to the disease prevention and control of special population.ObjectiveThe study is carried out to understand the prevalence of hypertension, awareness rate, treatment rate, control rate, and compared with the general patients, to understand the similarities and differences. By preliminary exploration, we want to get effective solutions to provide support for the prevention and control of hypertension of underground coal miners in this area.MethodsTaking a sample of4,638in-service underground workers aged18-54in Feicheng mining area as the object, and2,466ground workers as the control group. Taking the staff annual health examination and questionnaire survey to obtain relevant information. Without taking antihypertensive drug, not on the same day more than three times the clinic blood pressure measurement:SBP≥140mmHg or DBP≥ 90mmHg, or the patient must be taking antihypertensive drugs because of a history of hypertension for the diagnosis of patients with hypertension.Results1. A total of4,423people of underground worker group actually completed questionnaires and physical examination, the average age was38.7(±9.0) years old. The underground worker group prevalence of hypertension was26.7%, the awareness rate was28.5%, cure rate was17.9%, and control rate was4.8%, according to the2,000national census population by age group. After calculating the standardized the prevalence was22.4%.2. The prevalence of hypertension is higher in underground worker group than in ground worker group (P<0.001);The treatment rate of hypertension was higher in ground worker group than in underground worker group (P<0.05); And there is no significant difference in the awareness rate, control rate between two groups.3."High salt diet" shows the highest exposure rate in the main pathogenic factors associated with hypertension, accounted for89.7%of the hypertension group;"smoking" exposure rate was61.3%;"mental stress" exposure rate was57.5%. In the "5or more" risk factors, constituent ratio was significantly higher in underground worker group than in ground worker group(P<0.001). In the "stress"(P<0.001) and "drinking"(P<0.05), constituent ratio was higher in underground worker group than in ground worker group.4. In the patients with hypertension grade3, constituent ratio was higher in underground worker group than in ground worker group(P<0.05).5. In the main pathogenic factors and knowledge associated with hypertension, hypertensive patients showed higher awareness rate than normotensive about "age","high salt diet","whether to need treatment"(P<0.01),"if you can cure"(P<0.001),"obesity"(P<0.01). Patients with hypertension of ground worker group showed higher awareness rate than patients with hypertension of underground worker group about "whether to need treatment"(P<0.05).And patients with hypertension of underground worker group showed higher awareness rate than patients with hypertension of ground worker group about "mental stress". 6. Among the211patients taking antihypertensive drugs,58.8%of patients were taking one drug or one compound antihypertension drug.27.0%of patients were taking two tablets of antihypertensive drugs.14.2%of patients were taking three and more than three tablets of antihypertensive drugs.15.6%of hypertensive medication groups were under unreasonable medication, most of whom were in primary hospital patients.7. In the patients taking a kind of antihypertensive drugs, constituent ratio was higher in underground worker group than in ground worker group.8. Among the main causes of patients with intermittent or no regular medication, or with drug withdrawal,"not aware of hypertension harm" exposure rate was34.7%;"taking too much trouble" exposure rate was18.5%;"economic factors" exposure rate was10.4%. Conclusion1. Compared with the general population, the epidemiology of hypertension in Feicheng underground mine workers shows higher prevalence rate and lower treatment rate; Compared with other underground mine workers,it shows lower treatment rate and control rate.2. The epidemiology of hypertension of mine workers has the characteristics of their own occupation. We should pay enough attention to this kind of crowd, and take appropriate treatment measures according to its characteristics of occupation.3. Medication in patients with hypertension existed unreasonable phenomenon. The situation of drug application in primary hospital should be paid enough attention.4. The crowd hypertension related knowledge was low, and the degree of control on the pathogenic factors of hypertension was not enough. Increasing the breadth and depth of the prevention and control of hypertension, and moving forward the prevention and treatment of hypertension, are in line with the actual needs of the local.