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GW23-e0952
TREATMENT OF HYPERTENSION AND RELATIONSHIP BETWEEN HYPERTENSION AND HYPERLIPIDAEMIA IN OLD PEOPLE FROM COMMUNITIES IN SHENZHEN CITY
  1. Yao Gongyuan1,
  2. Ma Xinhua2,
  3. Pan Jianqing3,
  4. Li Shuangfei1,
  5. Yao Gongyuan4
  1. 1ShenZhen FuTian No.2 People' Hospital
  2. 2Hospital Affiliated to Shaoyang Medical College
  3. 3ShenZhen FuTian Chronic Diseases Control Hospital
  4. 4ShenZhen FuTian No.2 People' Hospital

    Abstract

    Objectives The aim of this study was to evaluate status of treatment of hypertension and the relationship between hypertension and in old people from communities in ShenZhen City.

    Methods Resident old population from communities which has synthetic intervention for hypertension prevention and cure well carried out were enrolled in this study. (1) General state of health: 728 resident old population aged from 65–92, including 320 male (44%) and 408 female (56%), were surveyed and taken a physical examination. (2) Diagnostic criteria: ≥65 was defined as old people according to WHO standard. Hypertension was diagnosed according to Chinese hypertension prevention and cure guide 2010. (3) Blood pressure measurements: examinees were ban of coffee or alcohol drinking since 30 min before examination, and required to no aggravating activities, keep stable mood, empty bladder, and have a 5–10 min resting before examination. ShangHai YuYue desk-top mercurial sphygmomanometers licensed and adjusted by national standard department were used to measure blood pressure. Meanwhile, questionnaires survey, other physical examination and blood biochemistry detection were carried out.

    Results 1. 378 in 728 participants had blood pressure achieved or exceeded hypertension diagnostic criteria, with a percentage of 51.6%. 299 in 378 participants with hypertension had known their history of hypertension, with a acknowledge rate of 79.10%. 248 in 299 were regular treated, with a high treatment rate of 82.9%.133 in 248 treated patients were found blood pressure normal in this examination, with a control rate of 53.60%.

    2. Relationship between blood pressure control and regular treatment. Blood pressure control was significantly relevant to regular treatment with a p=0.014. Results were showed in table 1.

    Measured blood pressureRegular treatmentTotalχ2 (P)
    YesNo
    Normal133161496.064 (0.014*)
    Abnormal11531146
    Total24847295
  1. *: p<0.05, with a statistical significance.

  2. Table 1

    Relationship between blood pressure control and regular treatment

    (3) Relationship between hypertension and hyperlipidaemia.

    Among 728 detected person, there were 248 (34.10%) with high total cholesterol, 274 (37.6%) with high triglyceride, and 66 (9.0%) with low high density lipoprotein, 450 (61.80%) with at lest one abnormal of the three blood-fat, 138 (30.67%) with at lest two abnormal of the three blood-fat. Hypertension was significantly relevant to hyperlipidaemia with a p=0.010. Results are showed in table 2.

    Hyperlipidaemia
    HypertensionNoYesTotalχ2 (P)
    No1512003516.707 (0.010)
    yes127250377
    Total278450728
  3. : p<0.05, with a statistical significance.

  4. Table 2

    Relationship between hypertension and hyperlipidaemia

    Conclusions the achievements of synthetic intervention for hypertension prevention and cure in communities in ShenZhen City were noticeable. Respecting the fact that acknowledge rate of hypertension among old people in ShenZhen City achieved 79.1%, regular treatment rate achieved 82.90%, and control rate reached 53.60%, the synthetic intervention for hypertension prevention and cure in communities is worthy of recommended. (2)A considerable proportion in old patients suffered from hypertension combined to hyperlipidaemia, of which high triglyceride was common, with a significant difference between hypertension and non-hypertension old patients (χ2=28.889, p<0.001). Of several type of blood fat abnormal, mixed type had reached a proportion of 30.67%, while the rate of control was still low, which should be noticed.

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