城乡社区原发性高血压患病情况的流行病学研究  

Community-based comprehensive prevention and control of hypertension in China (CCPACH Study)——prevalence and epidemiological characteristics in urban and rural area

作　　者：胡永华[1] 李立明[1] 曹卫华[1] 詹思延[1] 李芃[1] 李晓晖[1] 吴涛[1] 胡润华 周杏元 戈戎 祝国英 戴立强 王砚英 王峙[3] 郭艳梅[3] 

机构地区：[1]北京医科大学公共卫生学院流行病学教研室,100083 [2]上海市南市区卫生局 [3]北京市房山区卫生局

出　　处：《中华流行病学杂志》2000年第3期177-180,共4页Chinese Journal of Epidemiology

基　　金：国家"九五"攻关课题!(编号 :96 90 6 0 2 0 5)

摘　　要：目的　了解我国城乡社区原发性高血压患病情况。方法　以社区为基础的城乡社区约2 8万人口的原发性高血压进行抽样调查。结果　在 35岁以上人群中 ,城乡高血压患病率分别为31.7%与 32 .9% ,城市高血压的患病年龄明显高于农村。城乡非高血压人群中 ,均约有一半的人具有高血压的危险因素。城市高血压的知晓率、治疗率与控制率分别为 5 6 .3%、2 6 .8%与 4.4% ,农村则为 40 .3%、17.5 %与 2 .6 %。城乡既往诊断的高血压患者中 ,均有一半以上的人未服药治疗。城乡新检出高血压患者类型构成相似 ,均以轻度与单纯收缩期高血压为主。结论　在我国城乡亟需开展社区高血压的综合防治工作 ,普及预防高血压的知识 ,加强对基层医师的培训 ,对高血压病人予以系统地管理与治疗。Objective To understand the epidemiological features and prevalence of essential hypertension in the rural communities. Methods A community based survey on essential hypertension was carried out in urban and rural areas involving 280 000 population. Results The prevalence rate of hypertension in age 35 years and over was 31.7 % and 32.9 % in urban and rural respectively; the average age of the patients' in urbans was significantly higher than in rural areas. Among non hypertensive cases, more than 50% of the population having risk factors of hypertension in both urban and rural areas. Rates of treatment and control awareness of hypertension were 56.3 %, 26.8 % and 4.4 % respectively in urban; comparing to 40.3 %, 17.5 % and 2.6 % respectively, in the rural areas. More than half of the diagnosed patients before survey did not take antihypertensive medicine for treatment in both areas. The proportions the classification of hypertension were similar in both areas with majority of them, mild and isolated systolic hypertension. Conclusions It was demonstrated that there is an urgent need to carry out comprehensive prevention and control for hypertension in urban and rural area.

关 键 词：原发性高血压 患病率 流行病学 

分 类 号：R181.3[医药卫生—流行病学]