关键词: 高血压, 急症, 影响因素分析

Abstract: Objective　To explore the influencing factors of hypertensive emergencies（HE）.Methods　A case-control study was performed among 782 patients with hypertension from Department of Cardiology，Daqing Oilfield General Hospital，Heilongjiang Province from September 2015 to July 2017.Of them，310 with a history of HE and other 472 without were assigned to HE group and non-HE group，respectively.Clinical data were collected by a questionnaire survey using a self-developed Baseline Characteristics Questionnaire，Chinese version of Morisky Medication Adherence Scale，Chinese version of Health-promoting Lifestyle Profile Ⅱ（HPLP-Ⅱ-C），Chinese version of 12-item Short Form Health Survey（SF-12-C），Social Support Rating Scale（SSRS），Chinese version of Family Assessment Device（FAD-C），and Chinese version of Self-rated Abilities for Health Practices Scale（SRAHP-C），and were compared between the groups.Multivariate stepwise Logistic regression analysis was used to explore the influencing factors of HE.Results　The incidence of HE was 39.6%.There were no significant difference in sex，alcohol consumption history，family history of hypertension，family history of cerebrovascular disease，family history of diabetes，BMI，waistline and mean score of SSRS between the two groups（P>0.05）.However，smoking history，diabetes history，family history of cardiovascular disease，salt consumption status，exercise status，sleep quality，medication compliance，age，fasting plasma glucose，total cholesterol，triglyceride，mean score of HPLP-Ⅱ-C，SF-12-C，FAD-C and SRAHP-C differed significantly between the groups（P<0.05）.Multivariate stepwise Logistic regression analysis revealed that diabetes history，sleep quality，mean score of HPLP-Ⅱ-C，SF-12-C and FAD-C were the influencing factors of HE（P<0.05）.Conclusion　The morbidity of HE is high in patients with hypertension.And diabetes history，poor sleep quality，poor lifestyle，poor quality of life and poor family functioning are the risk factors.

Key words: Hypertensive, Emergencies, Root cause analysis