2010年全国克山病病区居民高血压患病情况调查  

The prevalence of hypertension in Keshan disease endemic areas of China, 2010

作　　者：冶超 侯杰[1] 王铜[1] 孙中明[1] 李世娥[1] 王 庞宏洋[1] 郭子丹[1] 

机构地区：[1]哈尔滨医科大学地方病预防控制中心克山病防治研究所,哈尔滨150081

出　　处：《中华地方病学杂志》2016年第4期291-295,共5页Chinese Journal of Endemiology

摘　　要：目的了解克山病病区的高血压患病情况，为高血压防控政策调整提供科学依据。方法2010年，采用非概率抽样法，在山东、河北、云南、甘肃、河南、黑龙江、吉林、辽宁、内蒙古、山西、陕西、四川、重庆13个省（市、自治区）选择50个县作为调查县，在病例搜索的基础上选取克山病病情较重的200个村作为调查点。调查对象为调查点所有常住居民。通过问卷调查了解调查对象基本情况，临床进行高血压检查。高血压的诊断标准参照《中国高血压防治指南》（2010修订版）。结果共调查18岁及以上的成年人32504人，检出高血压患者6209人，检出率为19．1％。其中男性检出率为19．5％（2613／13410），女性检出率为18.8％（3596／19094），不同性别检出率比较，差异无统计学意义（χ^2=2．169，P〉0．05）。高血压的检出率随年龄增长而升高（χ^2=3462．522，P〈0．05）。各级高血压：单纯收缩期高血压占32．8％（2038／6209），一级高血压占27．5％（1705／6209），二级高血压占26．2％（1625／6209），三级高血压占13．5％（841／6209）。满族的高血压检出率[33．1％（228／689）]高于汉族20．0％（5626／28164，χ^2=71．535，P〈0．01），土家族、羌族、彝族的高血压检出率[16．9％（117／691）、4．1％（29／712）、3.3％（48／1444）]均低于汉族（χ^2=14.926、111．519、245．859，P均〈0．01）。高血压检出率高的省份为辽宁省，检出率为33．2％（228／687）。结论克山病病区的高血压检出率已经达到了全国平均水平（18．8％），高血压防控政策调整及健康知识普及需重视贫困偏远的农村地区．Objective To describe the prevalence of hypertension in Keshan disease endemic areas in China, in order to provide evidence for modifying the policy of hypertension prevention and control. Methods Non-probability sampling method was used in the study. Two hundred villages were selected as the survey places based on case-finding from 50 counties in 13 provinces including Shandong, Hebei, Yunnan, Gansu, Henan, Heilongjiang, Jilin, Liaoning, Mongolia, Shaanxi, Shanxi, Hubei, Siehuan and Chongqing in 2010. Basic data of all permanent residents in the two hundred villages were obtained through questionnaire survey, and blood pressure was taken by a clinician. The diagnostic criterion for hypertension was based on the 2010 ＂Chinese Guidelines for the Management of Hypertension＂. Results Totally 32 504 people were surveyed and 6 209 people were found with hypertension. The positive rates of hypertension among people aged 18 years and older in the most severe endemic areas of Keshan disease were 19.1% （6 209/32 504）, among them 19.5% （2 613/13 410） were males and 18.8%（3 596/19 094） were females. The positive rate was not significantly different statistically between males and females （χ^2 = 2.169, P 〉 0.05）. The positive rate of hypertension increased with age （χ^2 = 3 462.522, P 〈 0.05）. In the classification of hypertension, the proportion of isolated systolic hypertension was 32.8% （2 038/6 209）; level 1, 2, 3 hypertension were 27.5% （1 705/6 209）, 26.2% （1 625/6 209）, 13.5% （841/6 209）, respectively. The positive of hypertension among the minority ethnic people of Man [33.1% （228/689）] was higher than that of Han people [20.0% （5 626128 164）, X2 = 71.535, P 〈 0.0l], but Tujia, Qiang and Yi [16.9% （117/691）, 4.1% （29/712）, 3.3% （48/1 444）] was lower than that of Han （X2 = 14.926, 111.519, 245.859, all P 〈 0.01）. Moreover the positive rate of Liaoning Province [33.2%（228/687）] was the highest. Conclusions The prevalence of hypertension in p

关 键 词：克山病 高血压 检出率 

分 类 号：R542.3[医药卫生—心血管疾病] R544.1[医药卫生—内科学]