标题：门诊心血管病患者血压和血脂现状调查分析

      作者：周 游，罗义波，王扬淦
    (武汉大学中南医院心血管内科，湖北 武汉 430071)

      卷次： 2015年26卷21期

      【摘要】 目的 了解高血压和高脂血症在心血管门诊患者中的分布及血压、血脂控制情况。方法 回顾分
析武汉大学中南医院2012年10月至2013年4月心血管门诊患者3 608例，对其人口学资料、血压、血脂数据进行
统计学分析。结果 门诊高血压患病率为52.25%。45.99%接受了药物治疗，血压达标率为33.26%。钙通道阻
滞剂(CCB)为最常用的降压药物，占所有抗高血压药物的40.37%，使用CCB患者的血压达标率为48.29%。联合
应用两种或两种以上降压药者占13.61%，其血压达标率为50.85%。所有血压未达标人群中，有三种或三种以上
心血管病史者占41.42%，单独患有高血压病者占34.56%。门诊高脂血症的患病率为50.78%，30.73%接受了药物
治疗。在降脂药使用中，他汀类占90.23%，烟酸、贝特或中药类占9.77%。伴有动脉粥样硬化性心血管疾病患者
的低密度脂蛋白胆固醇达标率最低，仅占20.95%。结论 门诊高血压、高脂血症患病率较高，达50%以上，而且
药物治疗率及血压、血脂达标率较低，越是合并多种疾病的患者达标率越低。

      【关键词】 高血压；高脂血症；门诊患者；达标率；服药情况

      【中图分类号】 R195.1 【文献标识码】 D 【文章编号】 1003—6350（2015）21—3259—03


Investigation of blood pressure and blood lipid in cardiology outpatients.
ZHOU You, LUO Yi-bo, WANG
Yang-gan. Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, CHINA

【Abstract】 Objective To analyze the distribution of hypertension and hyperlipidemia in cardiology outpa-
tients, and the control of blood pressure (BP) and blood lipid. Methods The clinical data of 3 608 outpatients in
Zhongnan Hospital of Wuhan University from Oct. 2012 to Apr. 2013 were retrospectively analyzed, including the de-
mographic data, BP and blood lipid. Results The prevalence of hypertension was 52.25%, and only 45.99% of hyper-
tensive patients received medication, with the BP control rate of 33.26%. Calcium channel blockers (CCB) were the
most commonly used antihypertensive drugs (40.37%), with a BP control rate of 48.29%. 13.61% of hypertensive pa-
tients used a combination of two or more antihypertensive drugs and had the highest control rate (50.85%). The uncon-
trolled rate of BP was significantly higher in patients with three or more cardiovascular diseases (41.42%) than pa-
tients with hypertension only (34.56% ). The prevalence of hyperlipidemia was 50.78% and therapeutic rate was
30.73%. 90.23% of hyperlipidemia patients received statins and 9.77% were taking nicotinic acid or Chinese medi-
cine. Patients with ASCVD had the lowest control rate of LDL-C (20.95%). Conclusion These findings indicate that
the outpatients have a high morbidity and low control rates of hypertension and hyperlipidemia. Patients with more
cardiovascular diseases have lower control rate.