广西柳州市城区居民高血压病现况调查  

A Cross - sectional Study on Hypertension prevalence of Residents in Liuzhou City, Guangxi Province, China

作　　者：徐久久[1] 甘志高[1] 钟柳青[1] 

机构地区：[1]广西柳州市疾病预防控制中心,545007

出　　处：《健康天地（学术版）》2010年第3期88-90,共3页

基　　金：广西壮族自治区卫生厅自筹经费项目（编号：Z2006237）

摘　　要：目的：了解柳州市居民高血压病的流行和治疗现况，为防治高血压病提供科学的决策依据。方法：应用分层整群随机抽样方法，抽取具有代表性的柳州市城区15岁以上的人群进行问卷调查，并按照统一标准对样本人群的血压进行测量。对调查对象的人口统计学特征和高血压的有关信息进行统计分析。结果：15岁以上人群高血压粗患病率为25．2％，其中男性为30．22％，女性为20．99％，发病总体趋势随年龄的增加而增加；不同年龄组、血压值正常人群的收缩压（SBP）和舒张压（DBP）比正在接受治疗的高血压患者的相应值低16．1mmHg和6．7mmHg，比未经治疗的高血压患者的相应值低22．4mmHg和8．9mmHg。平均SBP和DBP水平随年龄增长而呈增加趋势；74．8％的人有理想或正常血压，6．6％的人有正常高值血压；66．4％的患者知晓自己患有高血压病，61．0％的人正在服药治疗，有51．0％得到控制。35-45岁组高血压病知晓率、治疗率及控制率最低。对非药物治疗方法知晓率最高的是加强身体锻炼、限制食盐摄入及控制体重，使用也最多。结论：柳州城市居民高血压患病率与全国和广西城市的水平近似，男女患病率相差较大，男性高于女性；高血压病的知晓率、治疗率、控制率均高于全国和广西城市平均水平，与发达国家平均水平接近。Objective： To identify the risk factors and prevalence of hypertension in urban population in Huzhou City and to provide the scientific basis for the treatment and intervention of hypertension. Methods ： A Cross - sectional study was applied while the coincident of investiga- tive standard was designed to investigate the prevalence of hypertension, a representative sample of urban population in the whole city which in- eludes exeecd 15 years old were selected with multistage cluster sampling. Measurement of blood pressure was taken for all of them with three read- ings in a mercuric -column sphygmomanometer after resting for five minutes. Standard structured questionnaire was used to collect their histories and treatment and prevention for hypertension. Results： A total of 893 residents aged exceed 15 years were included in this survey. Overall, the prevalence of hypertension was 25. 2 % in general, representing O. 26 million persons with hypertension in the whole city as estimated. The preva- lence increased along with the age. Gender specific prevalence of hypertension was 20. 99% for female and 30. 22% for male respectively. Normal people in different ages whom have up to snuff value of blood pressure have the lower SBP and DBP of 16. lmmHg and 6. 7mmHg than those patients who were treating, and have the lower SBP and DBP of 22. 4mmHg and 8.9mmHg than those patients who were not treated. The average value of SBP and DBP increased along with the age. Among hypertensive patients, 66.4% were aware of their high blood pressure, 61.0% were taking anti- hypertensive medication, and 51.0% achieved their blood pressure under control （ 〈 140/90mmHg）. But the age of 35 ~ 45 have the lowest value in all of those rates. The rates of awareness of non - medication therapy on hypertensions were take exercises, to reduce take in the salt and keep slim. Conclusions The population of Liuzhou City has the similar prevalence level of hypertension as the whole nation and the primary cities of Guangxi Province. There is

关 键 词：高血压 患病率 现况调查 

分 类 号：R544.1[医药卫生—心血管疾病]