A follow-up study on blood pressure control of patients with high blood pressure in high cardiovascular risk population in Jiangsu Province

WU Xun; SU Jian; CHEN Lulu; CUI Lan; TAO Ran; ZHOU Jinyi; QIN Yu

doi:10.16462/j.cnki.zhjbkz.2023.04.005

Volume 27 Issue 4

Apr. 2023

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2023 > 27(4): 399-405

WU Xun, SU Jian, CHEN Lulu, CUI Lan, TAO Ran, ZHOU Jinyi, QIN Yu. A follow-up study on blood pressure control of patients with high blood pressure in high cardiovascular risk population in Jiangsu Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(4): 399-405. doi: 10.16462/j.cnki.zhjbkz.2023.04.005

Citation:

WU Xun, SU Jian, CHEN Lulu, CUI Lan, TAO Ran, ZHOU Jinyi, QIN Yu. A follow-up study on blood pressure control of patients with high blood pressure in high cardiovascular risk population in Jiangsu Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(4): 399-405. doi: 10.16462/j.cnki.zhjbkz.2023.04.005

Citation:

WU Xun, SU Jian, CHEN Lulu, CUI Lan, TAO Ran, ZHOU Jinyi, QIN Yu. A follow-up study on blood pressure control of patients with high blood pressure in high cardiovascular risk population in Jiangsu Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(4): 399-405. doi: 10.16462/j.cnki.zhjbkz.2023.04.005

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A follow-up study on blood pressure control of patients with high blood pressure in high cardiovascular risk population in Jiangsu Province

doi: 10.16462/j.cnki.zhjbkz.2023.04.005

Department of Non-communicable Chronic Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China

Funds:

National Major Public Health Program of China (early screening and comprehensive intervention program for high-risk population of cardiovascular disease) Ministy of Finance〔2014〕No.37

More Information

Corresponding author: QIN Yu, E-mail: qinyu@jscdc.cn
Received Date: 2022-05-27
Rev Recd Date: 2022-08-03

Available Online: 2023-04-28

Publish Date: 2023-04-10

Abstract

Abstract

Objective To investigate the follow-up control of blood pressure in hypertensive patients with a high risk of cardiovascular disease and to provide a theoretical basis and reference for the prevention and treatment of hypertension and cardiovascular disease. Methods A total of 20 091 hypertensive patients in the high-risk cardiovascular disease population who participated in the project from 2016 to 2019 were selected as the research subjects. And their blood pressure control was analyzed during two follow-up visits. Blood pressure control was examined by a generalized estimation equation. Results The blood pressure control rate in hypertensive patients with a high risk of cardiovascular disease was 37.8% at the first follow-up, and 32.8% at the second follow-up. Smokers, urban residents, and people with higher education levels and higher annual household income were more likely to have their blood pressure controlled; While those with hypertension awareness, alcohol consumption, and higher BMI were more difficult to control (all P < 0.05). Conclusions The blood pressure control level of hypertensive patients in a high-risk population of cardiovascular disease in Jiangsu Province needs to be improved. And the prevention and control of blood pressure in a high-risk population should be strengthened. Standardized blood pressure management and effective intervention measures should be carried out to improve the control effect.
- Cardiovascular disease,
- High risk people,
- High blood pressure,
- Blood pressure control

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References(21)

References

[1]	Lewington S, Lacey B, Clarke R, et al. The burden of hypertension and associated risk for cardiovascular mortality in China[J]. JAMA Intern Med, 2016, 176(4): 524-532. DOI: 10.1001/jamainternmed.2016.0190.
[2]	Gu DF, He J, Coxson PG, et al. The cost-effectiveness of low-cost essential antihypertensive medicines for hypertension control in China: a modelling study[J]. PLoS Med, 2015, 12(8): e1001860. DOI: 10.1371/journal.pmed.1001860.
[3]	顾东风, 翁建平, 鲁向锋, 等. 中国健康生活方式预防心血管代谢疾病指南[J]. 中国循环杂志, 2020, 35(3): 209-230. DOI: 10.3969/j.issn.1000-3614.2020.03.001. Gu DF, Wong JP, Lu XF, et al. Chinese guideline on healthy lifestyle to prevent cardiometabolic diseases[J]. Chin Circul J, 2020, 35(3): 209-230. DOI: 10.3969/j.issn.1000-3614.2020.03.001.
[4]	Han C, Liu FC, Yang XL, et al. Ideal cardiovascular health and incidence of atherosclerotic cardiovascular disease among Chinese adults: the China-PAR project[J]. Sci China Life Sci, 2018, 61(5): 504-514. DOI: 10.1007/s11427-018-9281-6.
[5]	吴洵, 覃玉, 崔岚, 等. 江苏省居民心血管病高危人群流行病学特征及其影响因素分析[J]. 中华流行病学杂志, 2022, 43(1): 78-84. DOI: 10.3760/cma.j.cn112338-20210201-00083. Wu X, Qin Y, Cui L, et al. Epidemiological characteristics and influencing factors for high risk cardiovascular disease population in Jiangsu Province[J]. Chin J Epidemiol, 2022, 43(1): 78-84. DOI: 10.3760/cma.j.cn112338-20210201-00083.
[6]	中国高血压防治指南修订委员会, 高血压联盟(中国), 中华医学会心血管病学分会中国医师协会高血压专业委员会, 等. 中国高血压防治指南(2018年修订版)[J]. 中国心血管杂志, 2019, 24(1): 24-56. DOI: 10.3969/j.issn.1007-5410.2019.01.002. China Hypertension Prevention and Control Guidelines Revision Committee, Hypertension Alliance (China), Hypertension Professional Committee of Chinese Medical Association, Cardiovascular Branch, Chinese Medical Association, et al. 2018 Chinese guidelines for the management of hypertensionWriting Group of 2018[J]. Chin J Cardiovasc Med, 2019, 24(1): 24-56. DOI: 10.3969/j.issn.1007-5410.2019.01.002.
[7]	中国营养学会肥胖防控分会, 中国营养学会临床营养分会, 中华预防医学会行为健康分会, 等. 中国居民肥胖防治专家共识[J]. 中华流行病学杂志, 2022, 43(5): 609-626. DOI: 10.3760/cma.j.cn112338-20220402-00253. Chinese Nutrition Society Obesity Prevention and Control Section, Chinese Nutrition Society Clinical Nutrition Section, Chinese Preventive Medicine Association Behavioral Health Section, et al. Expert Consensus on Obesity Prevention and Treatment in China[J]. Chin J Epidemiol, 2022, 43(5): 609-626. DOI: 10.3760/cma.j.cn112338-20220402-00253.
[8]	Zhao K, Yang SS, Wang HB, et al. Association between the hypertriglyceridemic waist phenotype and prediabetes in Chinese adults aged 40 years and older[J]. J Diabetes Res, 2018, 2018: 1031939. DOI: 10.1155/2018/1031939.
[9]	苏健, 崔岚, 杜文聪, 等. 江苏省居民高血压患病率、知晓率、治疗率和控制率分析[J]. 中华流行病学杂志, 2019, 40(9): 1139-1144. DOI: 10.3760/cma.j.issn.0254-6450.2019.09.023. Su J, Cui L, Du WC, et al. Prevalence, awareness, treatment and control of hypertension in adult residents in Jiangsu Province[J]. Chin J Epidemiol, 2019, 40(9): 1139-1144. DOI: 10.3760/cma.j.issn.0254-6450.2019.09.023.
[10]	吴洵, 覃玉, 崔岚, 等. 江苏省高血压患者降压药联合使用现状及血压控制情况[J]. 中华高血压杂志, 2022, 30(6): 571-576. DOI: 10.16439/j.issn.1673-7245.2022.06.013. Wu X, Qin Y, Cui L, et al. Current situation of combined use of antihypertensive drugs and blood pressure control in patients with hypertension in Jiangsu Province[J]. Chin J Hypertens, 2022, 30(6): 571-576. DOI: 10.16439/j.issn.1673-7245.2022.06.013.
[11]	中国心血管健康与疾病报告编写组. 中国心血管健康与疾病报告2020概要[J]. 中国循环杂志, 2021, 36(6): 521-545. DOI: 10.3969/j.issn.1000-3614.2021.06.001. The Writing Committee of the Report on Cardiovascular Health and Diseases in China. Report on cardiovascular health and diseases in China 2020: An updated summary[J]. Chin Circul J, 2021, 36(6): 521-545. DOI: 10.3969/j.issn.1000-3614.2021.06.001.
[12]	李志芳, 段培芬, 刘新太, 等. 农村心血管疾病高危患者规范化管理效果的评价[J]. 中国循环杂志, 2018, 33(8): 792-796. DOI: 10.3969/j.issn.1000-3614.2018.08.012. Li ZF, Duan PF, Liu XT, et al. Effects of standardized management among high risk cardiovascular patients in rural areas[J]. Chin Circul J, 2018, 33(8): 792-796. DOI: 10.3969/j.issn.1000-3614.2018.08.012.
[13]	Sun YX, Li Z, Guo XF, et al. Rationale and design of a cluster randomized trial of a village doctor-led intervention on hypertension control in China[J]. Am J Hypertens, 2021, 34(8): 831-839. DOI: 10.1093/ajh/hpab038.
[14]	田树慧. 高血压社区规范化管理的长期干预效果[D]. 南京: 东南大学, 2018. Tian SH. Long term intervention effect of standardized management of hypertension in community[D]. Nanjing: Southeast University, 2018.
[15]	王雷霞. 社区规范化管理高血压患者血压控制现状及影响因素研究[D]. 兰州: 兰州大学, 2019. Wang LX. Study on the status and influencing factors of blood pressure control in community standardized management of hypertension patients[D]. Lanzhou: Lanzhou University, 2019.
[16]	国家心血管病中心, 国家基本公共卫生服务项目基层高血压管理办公室, 国家基层高血压管理专家委员会. 国家基层高血压防治管理指南2020版[J]. 中国循环杂志, 2021, 36(3): 209-220. DOI: 10.3969/j.issn.1000-3614.2021.03.001. The National Essential Public Health Service Program Office for Management of Hypertension in Primary Health Care, National Center for Cardiovascular Diseases, National Committee on Hypertension Management in Primary Health Care. National clinical practice guidelines on the management of hypertension in primary health care in China (2020)[J]. Chin Circul J, 2021, 36(3): 209-220. DOI: 10.3969/j.issn.1000-3614.2021.03.001.
[17]	周筠, 郑鸿尘, 薛恩慈, 等. 中老年人群中吸烟与血压关联的前瞻性队列研究[J]. 中华流行病学杂志, 2020, 41(6): 896-901. DOI: 10.3760/cma.j.cn112338-20200312-00320. Zhou Y, Zheng HC, Xue EC, et al. A prospective cohort study on the association between smoking and blood pressure among middle-aged and elderly people[J]. Chin J Epidemiol, 2020, 41(6): 896-901. DOI: 10.3760/cma.j.cn112338-20200312-00320.
[18]	Kékes E, Paksy A, Baracsi-Botos V, et al. The combined effect of regular alcohol consumption and smoking on blood pressure and on the achievement of blood pressure target values in treated hypertensive patients[J]. Orv Hetil, 2020, 161(30): 1252-1259. DOI: 10.1556/650.2020.31766.
[19]	Li GJ, Wang HL, Wang K, et al. The association between smoking and blood pressure in men: a cross-sectional study[J]. BMC Public Health, 2017, 17(1): 797. DOI: 10.1186/s12889-017-4802-x.
[20]	Zhao HY, Liu XX, Wang AX, et al. Ideal cardiovascular health and incident hypertension: the longitudinal community-based Kailuan study[J]. Medicine, 2016, 95(50): e5415. DOI: 10.1097/MD.0000000000005415.
[21]	刘彤, 李英华, 王兰兰, 等. 2019年我国城市居民健康素养水平及其影响因素[J]. 中国健康教育, 2021, 37(2): 99-103. DOI: 10.16168/j.cnki.issn.1002-9982.2021.02.001. Liu T, Li YH, Wang LL, et al. Study on the status of health literacy and its influencing factors among Chinese urban residents in 2019[J]. Chinese Journal of Health Education, 2021, 37(2): 99-103. DOI: 10.16168/j.cnki.issn.1002-9982.2021.02.001.