北京市海淀区成年人常见慢性病患病及防治现状  

The Current Status of the Prevalence and its Prevention and Control of Hypertension,Diabetes and Dyslipidemia among Adults in Haidian District,Beijing

作　　者：李园[1] 翟蕾[1] 王洪波[1] 何玲钧[1] 崔红月[1] 贾静源[1] 刘晓文[1] 王利清[1] 张雪茹[1] 

机构地区：[1]北京市海淀区疾病预防控制中心慢性病预防控制科,北京100094

出　　处：《中国慢性病预防与控制》2010年第3期261-264,共4页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的了解北京市海淀区成年人高血压、糖尿病、血脂异常的流行特征和防治水平。方法采取多阶段等比例分层整群抽样方法于2008年对北京市海淀区2776名18岁～79岁常住居民进行问卷调查、体格测量和实验室检查。结果高血压、糖尿病、血脂异常的患病率分别为37.5%,11.0%和45.7%;高血压患者知晓率、药物治疗率和控制率分别为49.7%,44.3%和9.8%,糖尿病患者分别为56.7%,50.0%和15.0%,血脂异常患者分别为31.1%,13.0%和4.3%;高血压、糖尿病、血脂异常知晓患者的治疗率分别为89.2%,87.5%和34.1%,药物治疗患者的控制率分别为22.1%,42.8%和19.5%。随年龄增长,高血压、糖尿病、血脂异常的患病率、知晓率、药物治疗率增高(P<0.05);高血压治疗患者的控制率降低(P<0.05)。女性60岁以前高血压、糖尿病、血脂异常患病率均低于男性(P<0.05),60岁以后与男性持平。结论海淀区高血压、糖尿病、血脂异常患病水平高,知晓、治疗和控制水平偏低。当前应加强慢性病的三级预防,加强社区慢性病综合防治工作。Objective To know the current status of prevalence, treatment and control of hypertension, diabetes, dyslipidemia in Adults of Haidian District, Beijing. Methods 2 776 adult residents aged 18-79 yrs were randomly selected with stratified multi-stage cluster sampling method. Each participant was invited to receive a set of standardized questionnaire, physical examinations and laboratory tests in 2008. Results The prevalence rates of hypertension, diabetes and dyslipidemia were 37.5%, 11.0% and 45.7% respectively. The rates of awareness, treatment and control were 49.7%, 44.3% and 9.8% respectively for hypertension, 56.7%, 50.0% and 15.0% respectively for diabetes mellitus, and 31.1%, 13.0% and 4.3% respectively for dyslipidemia. Among the patients being aware of their corresponding diseases, the rate of treatment for hypertension, diabetes and dyslipidemia were 89.2%, 87.5% and 34.1% respectively. For the treated patients, the rate of control of hypertension, diabetes and dyslipidemia were 22.1%, 42.8% and 19.5% respectively. The above rates increased with age with the exception that the rate of hypertension control in treated patients decreased with age. Women had the lower prevalence of the three chronic diseases than men before 60 years old. And the difference disappeared after 60 years old. Generally the rates of awareness, treatment and control showed no significant difference between genders. Conclusion The prevalence rates of hypertension, diabetes and dyslipidemia were still high, but the rates of awareness, treatment and control of these diseases were relatively low. It is necessary, to strength the community comprehensive prevention and control of chronic diseases.

关 键 词：高血压 糖尿病 血脂异常 患病率 知晓率 治疗率 控制率 

分 类 号：R544.1[医药卫生—心血管疾病] R587.1[医药卫生—内科学]