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

摘要： 目的　探讨高血压急症的影响因素。方法　选取2015年9月—2017年7月在黑龙江省大庆市油田总医院心内科入院治疗的高血压患者782例，根据是否发生高血压急症分为非高血压急症组（n=472）和高血压急症组（n=310）。采用问卷调查的方式，收集纳入患者的临床资料，问卷内容包括一般情况调查表、Morisky服药依从性问卷、健康促进生活方式量表（HPLP-Ⅱ）、健康相关生命质量调查量表（SF-12）、社会支持评定量表（SSRS）、家庭功能评定量表（FAD）、健康行为自我效能量表（SRAHP）。比较两组患者的临床资料，采用多因素Logistic逐步回归分析探讨高血压急症的影响因素。结果　高血压急症的发生率为39.6%。两组患者的性别、饮酒史、高血压家族史、脑血管病家族史、糖尿病家族史、BMI、腰围、SSRS得分比较，差异无统计学意义（P>0.05）；吸烟史、糖尿病病史、心血管病家族史、食盐情况、运动情况、睡眠情况、服药依从性情况、年龄、空腹血糖（FPG）、总胆固醇（TC）、三酰甘油（TG）、HPLP-Ⅱ得分、SF-12得分、FAD得分、SRAHP得分比较，差异有统计学意义（P<0.05）。多因素Logistic逐步回归分析结果显示，糖尿病病史、睡眠情况、HPLP-Ⅱ得分、SF-12得分、FAD得分是高血压急症的影响因素（P<0.05）。结论　高血压患者急症发生率较高，有糖尿病病史、睡眠较差、生活方式不良、生活质量不佳、家庭功能较差是其危险因素。

关键词: 高血压, 急症, 影响因素分析