上海市某农村社区无高血压病史人群血压水平分析  

Blood Pressure Level among Non-hypertension Population in a Certain Rural Community in Shanghai

作　　者：丁晶[1] 黄纯臣[1] 汪昕[1] 葛安岩[1] 丁玎[2] 洪震[2] 黄久仪[3] 郭吉平[3] 曹奕丰[3] 季春华 徐静 范薇[1] 

机构地区：[1]复旦大学附属中山医院神经内科,200032 [2]复旦大学附属华山医院神经科,200040 [3]上海市脑血管病防治研究所 [4]上海市金山区金泽社区卫生中心

出　　处：《中国临床神经科学》2011年第2期136-140,共5页Chinese Journal of Clinical Neurosciences

基　　金：上海市科委重点课题(编号074119502)

摘　　要：目的:通过对上海市某农村社区≥35岁人群血压水平进行普查,分析其中无高血压病史者血压水平在不同年龄组及性别间的特点,为高血压病防治提供依据。方法:以整群抽样的方法在上海市某农村社区抽取10000自然人群,选择其中≥35岁者进行高血压病普查,剔除其中有高血压病史者后对目标人群进行年龄、性别与血压的情况分析。结果:本研究共纳入5172名对象,其中男性2454名,女性2718名;平均年龄(53.3±12.7)岁。男性平均收缩压为(123.88±11.99)mmHg(1mmHg=0.133kPa),平均舒张压为(77.38±6.66)mmHg;女性平均收缩压为(120.12±12.72)mmHg,平均舒张压为(75.04±4.45)mmHg;男女性别组间收缩压和舒张压差异有显著统计学意义(P<0.01)。除男性>75岁年龄组外,血压水平均随着年龄的增长呈现上升趋势。高血压的总检出率为12.7%,除男性>75岁年龄组外,高血压筛出率随年龄增长而升高(P<0.01)。结论:在非高血压病人群中,男性各年龄组收缩压及舒张压水平较女性为高;除男性>75岁年龄组外,血压水平均随着年龄的增长呈上升趋势,并且高血压筛出率随年龄增长而增加。Aim：To conduct a cross-sectional analysis of non-hypertension population of rural community in Shanghai,and compare the distribution of blood pressure among different age and gender groups.Methods： Cluster random sampling was employed among 10 000 people in a certain rural community in Shanghai and those elder than 35 years old meanwhile without a history of hypertension were selected to be investigated. The average blood pressure was compared among different ages,gender groups and the detection rate of hypertension was analysized.Results：5 172 cases were included（mean age 53.3±12.7,2 454 male and 2 718 female）.The average systolic pressure was（123.88±11.99）mmHg in male and（120.12±12.72）mmHg in female while those of diastolic pressure were（77.38±6.66） mmHg in male and（75.04 ＋ 4.45） mmHg in female.There were significant differences between gender groups both in systolic and diastolic pressure（P0.001）.The level of blood pressure increased along with the age among the subjects except of males elder than 75 years old.The overall detection rate of hypertension was 12.7%and it was found increased with age. Conclusion：Both systolic and diastolic pressure were higher in male than in female and the pressure increased with age.The detection rate was high and it also increased with age among non-hypertension population.

关 键 词：高血压 患病率 调查 

分 类 号：R544.1[医药卫生—心血管疾病]