北京市密云县高血压患者危险因素分析  

Analysis of risk factors for hypertension among farmers in Miyun,Beijing

作　　者：高艳军[1] 李保勤[1] 王化勇[1] 李立琴[1] 王书苹 

机构地区：[1]北京市密云县疾病预防控制中心,101500 [2]北京市密云县社区卫生服务管理中心

出　　处：《首都公共卫生》2011年第5期218-220,共3页Capital Journal of Public Health

摘　　要：目的对北京市密云县农民体检中筛查出的高血压患者患病状况进行研究,分析患者危险因素状况,为探索适合郊县的慢性病管理方法提供科学依据。方法采取整群抽样方法,调查9419名高血压患者,通过问卷调查和体格检查收集资料进行分析。结果调查对象男性超重肥胖率、症状发生率和规律服药率分别为59.86%、43.00%和52.02%,均低于女性(72.84%、49.65%和55.07%);症状发生率有随着年龄的增长而增长的趋势;青年规律服药率为44.57%,低于中年(52.07%)和老年(57.36%),以上差别均有统计学意义。结论需加强高血压危险因素知识的健康教育工作,提醒青年、女性患者积极控制体重;提高青年、男性患者对高血压危害和规律服药意义的认识;加强慢性病规范化管理,从而提高农村高血压患者的知晓率、治疗率和控制率,降低并发症的发生。Objective To study prevalence of hypertension among farmers in Miyun,Beijing screened out by physical examinations and analyze its risk factors to provide scientific evidence for local management of chronic diseases.Methods Cluster sampling was employed and a total of 9419 rural residents with hypertension were recruited for the study.Data were collected by both questionnaire and physical examinations.Results Prevalence of over-weight and obesity was 59.86 percent for men and 72.84 percent for women,respectively.Proportion of hypertensive symptoms and regularly taking anti-hypertensive drugs was 43.00 percent and 52.02 percent,respectively for men,as compared to those of 49.65 percent and 55.07 percent,respectively for women.Proportion of hypertensive symptoms increased with age in them by a linear trend.Proportion of regularly taking anti-hypertensive drugs was 44.57 percent for young hypertensives,lower than that in the middle-aged（52.07%） and the elderly（57.36%） ones,with statistically significant difference.Conclusions Health education on risk factor for hypertension should be enhanced to tell people,particularly the young and women hypertensives,to control their body weight.It is necessary to improve their knowledge of risk factors for hypertension and importance of regularly taking anti-hypertensive drugs,and control of their hypertension,to enhance standard management of chronic diseases and lower occurrence of complications of hypertension in rural areas.

关 键 词：慢性病 高血压 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]