北京市丰台区2010年主要慢病患病现状及与2002年对比分析  

Current situation of chronic disease of 2010 and comparison with that of 2002, in Fengtai District, Beijing

作　　者：安军静[1] 肖贵勇[1] 李洁[1] 王佳佳[1] 冯月明[1] 

机构地区：[1]北京市丰台区疾病预防控制中心营养与食品卫生科,北京100071

出　　处：《现代预防医学》2013年第23期4393-4396,4400,共5页Modern Preventive Medicine

基　　金：北京市科委计划项目(Z111107056811042)

摘　　要：目的掌握丰台区20岁及以上居民各类慢病患病情况,并与2002年进行对比分析,了解变化趋势。方法采用多阶段随机抽样的方法,抽取丰台区3个街道(乡)6个社区的20岁以上居民853人,对调查对象进行问卷调查、医学体检、实验室检测,了解居民高血压、超重肥胖、血脂异常、糖尿病的患病情况。结果 2010年丰台区20岁以上居民高血压患病率38.1%(标化患病率34.1%),超重患病率为35.6%(标准化率为38.2%),肥胖患病率为20.4%(标准化率为21.2%),糖尿病患病率为13.2%(标准化率为12.1%),高胆固醇血症患病率为4.3%(标准化率为3.9%),高甘油三酯血症患病率为18.6%(标准化率为19.8%),混合型高脂血症患病率为1.5%(标准化率为1.3%),低高密度脂蛋白血症患病率为11.7%(标准化率为12.8%),血脂异常患病率为27.1%(标准化率为27.9%)。高血压、肥胖、血脂异常等疾病发病率男性均高于女性(P﹤0.05)。与2002年相比,2010年丰台区20岁以上成年人的肥胖、超重肥胖、混合型高脂血症患病率出现下降,血脂异常患病率呈现升高趋势,而高血压及糖尿病的患病率差别无统计学意义。结论丰台区肥胖、超重肥胖、混合型高脂血症发病率降低,血脂异常患病率继续升高,高血压、糖尿病的患病率变化不大,应根据新的流行特点,调整和加强丰台区慢性病防治的工作重点。OBJECTIVE To understand the prevalence of chronic disease among inhabitants aged over 20 years in Fengtai District, analyze the prevalent trend through comparison with 2002. METItODS We used multi-stage random sampling method to draw 853 inhabitants aged over 20 years from 6 investigation sites of 3 precincts in Fengtai District. Questionnaire survey, physical checkup, physical examination and laboratory testing were used to collect data about the prevalence of hy- pertension, overweight, obesity, diabetes and dyslipidemia. RESULTS The prevalence of hypertension in inhabitants aged over 20 years was 38.1% （standardized prevalence was 34.1% ）. The prevalence of overweight was 35.6% （standardized prevalence was 38.2%）, the prevalence of obesity was 20.4% （standardized prevalence was 21.2%）. The prevalence of dia- betes was 13.2% （standardized prevalence was 12.1%） .The prevalence of combined hyperlipidemia was 1.5% （standardized prevalence was 1.3%）, the prevalence of dyslipidemia was 27.1% （standardized prevalence was 27.9%）. The percentages of people with hypertension, obesity, overweight and obesity, and dyslipidemia in males were higher than that in females （P 〈 0.05）. Compared with 2002, the prevalence rates of overweight, overweight and obesity, combined hyperlipidemia were de- creased, and that of dyslipidemia were increased. CONCLUSION The prevalences of overweight, overweight and obesity, combined hyperlipidemia are decreased, while that of dyslipidemia is increased. Adjustment and attention should be made ac- cording to the prevalence features and weakness exists in control strategy of present chronic disease.

关 键 词：高血压 超重 肥胖 糖尿病 血脂异常 

分 类 号：R195.4[医药卫生—卫生统计学]