2008年中国克山病病区居民高血压患病率  

The prevalence of hypertension among the people of the endemic areas of Keshan disease in 2008

作　　者：王哲[1] 王铜[1] 侯杰[1] 郭子丹[1] 冶超 庞宏洋[1] 周慧慧[1] 吴欢[1] 

机构地区：[1]哈尔滨医科大学中国疾病预防控制中心地方病控制中心克山病防治研究所,黑龙江哈尔滨150081

出　　处：《中国地方病防治》2016年第1期7-10,共4页Chinese Journal of Control of Endemic Diseases

基　　金：国家自然科学基金(81202154-H2401;81372938-H2401);黑龙江省普通高校病因流行病学重点实验室评估优秀奖励基金(2007400200007);黑龙江省科研院所课题(HLJDOF2013IKDO08;HLJDOF2014IKD)

摘　　要：目的描述2008年我国克山病病区居民高血压的患病情况,为我国弱势人群的高血压防控策略提供较为合理的科学依据。方法采用概率比例规模随机多阶段整群抽样的方法,选取全国克山病病区的居民共46 084人作为调查对象,对其进行人口学资料、临床查体等检查,高血压诊断以《中国高血压防治指南》(2010修订版)为标准。结果在2008年调查的12个省中,18岁及以上的居民共46 084人,其中高血压患者为11 359人,患病率为24.6%;男性患病率为24.9%,女性患病率为24.5%;高血压患病率随着年龄的增长而升高,不同年龄段间患病率有统计学差异,各级高血压间,单纯高血压2 884人(25.4%),一级高血压3 561人(31.4%),二级高血压3 096人(27.2%),三级高血压1 818人(16.0%),不同年龄组间各级高血压间差异有统计学意义。结论 2008年全国克山病病区高血压患病率明显高于全国平均水平,所以应当针对病区的居民开展有效的高血压三级预防措施。Objective The aim of this study was to describe the prevalence of hypertension among the people of the endemic areas of Keshan disease in 2008 in order to provide scientific evidence for making national policy and strategy of hypertension prevention for disadvantaged people. Method Using a probability proportional to population size（ PPS）, randomized, multistage, and cluster sampling, we surveyed 46 084, collected demographic research data,and carried out clinical medical examination. The diagnostic criterion for hypertension references. The Chinese guidelines for prevention and treatment of hypertension revised in 2010.Result We surveyed 46 084 adults aged 18 years or older in 12 provinces with endemic areas of Keshan disease, including 11359 patients with hypertension. The prevalence rates of hypertension of the people of the Keshan disease endemic areas were 24.6 %, 24. 9 % in males, and 24. 5 % in females. The higher the age group, the higher the prevalence rates of hypertension. The prevalence rates of different age groups had statistically significant difference. In the composition of the stage of hypertension, the proportion of stage Ⅰ, Ⅱ and Ⅲ hypertension and isolated systolic hypertension was 31. 8 %, 26. 1 %, 17. 2 % and 24. 9 %respectively. Conclusion The prevalence rates of hypertension of the people of the Keshan disease endemic areas was higher than the national average. Professionals need to develop solutions specific to the key issues of hypertension prevention and control for socio- economically disadvantaged population.

关 键 词：克山病病区 高血压 患病率 弱势人群 策略 

分 类 号：R542.3[医药卫生—心血管疾病]