王佳韵, 李俊, 梁彤彤, 宣国, 刘蒲, 张金玲, 奥宇宏, 吕军, 李程跃. 基于电子健康档案的上海市闵行区高血压并发症疾病谱分析[J]. 上海预防医学, 2022, 34(9): 895-900. DOI: 10.19428/j.cnki.sjpm.2022.21984
引用本文: 王佳韵, 李俊, 梁彤彤, 宣国, 刘蒲, 张金玲, 奥宇宏, 吕军, 李程跃. 基于电子健康档案的上海市闵行区高血压并发症疾病谱分析[J]. 上海预防医学, 2022, 34(9): 895-900. DOI: 10.19428/j.cnki.sjpm.2022.21984
WANG Jiayun, LI Jun, LIANG Tongtong, XUAN Guo, LIU Pu, ZHANG Jinling, AO Yuhong, LYU Jun, LI Chengyue. Complications of hypertension in Minhang District of Shanghai based on electronic health records[J]. Shanghai Journal of Preventive Medicine, 2022, 34(9): 895-900. DOI: 10.19428/j.cnki.sjpm.2022.21984
Citation: WANG Jiayun, LI Jun, LIANG Tongtong, XUAN Guo, LIU Pu, ZHANG Jinling, AO Yuhong, LYU Jun, LI Chengyue. Complications of hypertension in Minhang District of Shanghai based on electronic health records[J]. Shanghai Journal of Preventive Medicine, 2022, 34(9): 895-900. DOI: 10.19428/j.cnki.sjpm.2022.21984

基于电子健康档案的上海市闵行区高血压并发症疾病谱分析

Complications of hypertension in Minhang District of Shanghai based on electronic health records

  • 摘要:
    目的 明确上海市闵行区高血压并发症疾病谱,为明确高血压并发症的预防干预重点提供依据。
    方法 利用上海市闵行区2014年1月1日—2018年12月31日期间建卡管理的高血压人群电子健康档案数据,选取建卡时未出现并发临床症状的38 599名高血压患者纳入分析。用SPSS 20.0软件进行χ²检验、Cochran⁃Mantel⁃Haenszel检验。
    结果 研究对象并发症发生率为10.77%,其中脑血管损害的发病比例最高(7.44%),其次为心脏损害(3.55%)、外周血管损害(0.81%)。18~59岁、60~69岁、≥70岁高血压患者并发症的发病比例分别为5.53%、9.61%、16.19%,不同年龄组间并发症发病比例有统计学差异(χ²=668.670, P<0.05)。60~69岁人群中,女性高血压并发症的发病比例低于男性(χ²=5.937, P<0.05);但≥70岁人群中,女性高血压并发症的发病比例高于男性(χ²=11.619, P<0.05)。
    结论 该地区高血压人群并发心脑血管疾病的风险较高,应重视心脑血管疾病的早期筛查和重点管理,年龄和性别也对并发症的发生有影响。

     

    Abstract:
    Objective To determine the complications of hypertension among local residents in Minhang district of Shanghai, and provide scientific evidence for key preventive intervention.
    Methods We retrieved the data from the electronic health records, in which hypertensive patients were included for community-based management, in Minhang district of Shanghai from January 1st, 2014 to December 31st, 2018. A total of 38 599 hypertensive patients who had not had hypertension related clinical symptom when included in the electronic health records were enrolled in our study. Chi-square test and Cochran-Mantel-Haenszel test were used to determine the complications of hypertension.
    Results The incidence proportion of complications was 10.77%, of which cerebrovascular damage was the highest (7.44%), followed by cardiac damage (3.55%) and peripheral vascular damage (0.81%). The incidence proportions in patients aged 18‒59, 60‒69, 70 and above were 5.53%, 9.61% and 16.19%, respectively. There was significant difference in the incidence proportions of complications among age groups (χ²=668.670, P<0.05). Cochran-Mantel-Haenszel test showed that in the hypertensive patients aged 60‒69, the incidence proportion of complications in females was lower than that in males (χ²=5.937, P<0.05). However, in those aged above 70, the incidence proportion of complications in females was higher than that in males (χ²=11.619, P<0.05).
    Conclusion In patients with hypertension, the incidence proportions of cardiovascular and cerebrovascular diseases remains relatively high in Minhang district of Shanghai. Additionally, both age and gender have influence on the incidence of complications.

     

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