成都社区高血压现状调查  

The atatus of hypertension among community centers in Chengdu

作　　者：唐丹[1] 秦方[1] 闫亚非[1] 伍悦蕾[1] 陈春梅 余波 李军 陈新云[1] 姚园媛[1] 刘敏[1] 叶小平[1] 

机构地区：[1]成都市第一人民医院综合内科,四川成都610041 [2]成都市成华区青龙卫生服务中心,四川成都610066 [3]成都市石羊社区卫生服务中心,四川成都610041 [4]双流县卫生服务中心,四川成都610200

出　　处：《四川医学》2010年第10期1417-1419,共3页Sichuan Medical Journal

基　　金：成都市十一五重大专项资助课题(编号:08YTYB931SF-020)

摘　　要：目的了解成都社区高血压及相关危险因素现状。方法整群分层抽样,分别抽取农村、城郊及城区社区各一个,对个体采用问诊、查体及实验室检测方式获得基线资料。结果 2008年成都市社区高血压患病率为21.78%,高血压患病率随着年龄增加而升高。高血压知晓率、治疗率、控制率分别为50.6%、37.9%、8.2%。体重指数、饮酒、血尿酸、胆固醇水平与收缩压和舒张压呈正相关。我市高血压用药仍以短效、复方制剂为主,社区联合用药方式占降压治疗的比率为34.58%,使用指南推荐联合方案的比例不足50%。结论我市社区高血压患病率增加,知晓率及治疗率提高,但控制率仍低。高血压患者常合并多种危险因素,社区在降压同时对危险因素的治疗重视不够,高血压指南推广有待加强,联合用药还需规范。Objective To investigate the current status of hypertension and the related risk factors of communities in Chengdu.Methods 3 urban districts,one rural and urban fringe and one county station were surveyed by randomly cluster sampling as the baseline investigation.Results The prevalence of hypertension was 21.78% in 2008,and increased steeply with age.The awareness,treatment and control rates in this survey were 50.6%,37.9%,8.2% respectively.Levels of systolic blood pressure and diastolic blood pressure were correlated wityh age,BMI,acohol,uric acid,and total cholesterol.The hypertension in community was treated predominantly with short-acting of fixed-compound preparation,and lower proportion of combined therapy（34.58%）.Conclusion The prevalence,awareness,and treatment rates have been improved,but the control rate was still lower.There were mutiple risk factors co-existed with hypertension.The therapy of hypertension and related risk factors mentioned by Guideline need to be popularized in community.

关 键 词：高血压 流行病学分析 

分 类 号：R544.1[医药卫生—心血管疾病]