某县城区5126名初中生高血压患病及药物治疗现状调查  

Investigation on prevalence of hypertension and drug treatment of 5126 junior high school students in an urban area of a county

作　　者：乔适雨 赵峰 王旭 向全永[2] QIAO Shi-yu;ZHAO Feng;WANG Xu;XIANG Quan-yong(Sihong Hospital,Suqian 223900,Jiangsu,China)

机构地区：[1]江苏省泗洪医院,江苏不宿迁223900 [2]江苏省疾病预防控制中心

出　　处：《中国校医》2022年第12期889-892,共4页Chinese Journal of School Doctor

基　　金：江苏省卫生科研项目(H20120024)。

摘　　要：目的对中学生高血压患病及药物治疗情况进行调查分析,为儿童青少年高血压防治提供依据。方法采用整群抽样的方法抽取某县县城3所中学所有在校初中生开展调查。采用自行设计的问卷调查学生的年龄、性别、疾病史和家族史等基本情况,同时采用标准方法测量身高、体重和血压。结果共调查5126名在校初一至初三学生,其中男生2711名,女生2505名。随着学生身高和体重的增加,男生和女生的收缩压及舒张压均明显增加。男生和女生的高血压总检出率分别为4.83%和3.95%,随着年级的增加,男生和女生的高血压检出率均明显增加(χ^(2)=11.229,P<0.001)。学生的高血压知晓率为9.13%。2级高血压患者的药物治疗率为27.27%,主要用药为卡托普利片和苯磺酸氨氯地平片。结论该县的中学生高血压患病率与国内的相关报道基本一致;学生高血压知晓率和治疗率较低,需改善药物治疗。Objective To investigate and analyze the prevalence and drug treatment of hypertension in middle school students,so as to provide evidence for the prevention and treatment of hypertension in children and adolescents.Methods The cluster sampling method was used to select all junior high school students in three middle schools in an urban area of a county to conduct a survey.Self-designed questionnaires were used to survey students’basic information such as age,gender,disease history,and family history,and standard methods were used to measure height,weight,and blood pressure.Results A total of 5126 students from the first to the third grade of junior high school were surveyed,including2711 boys and 2505 girls.As students’height and weight increased,systolic blood pressure and diastolic blood pressure increased significantly for both boys and girls.The overall detection rates of hypertension in boys and girls were 4.83%and3.95%,r2espectively,and the detection rates of hypertension in boys and girls increased significantly with the increase of grade(χ^(2)=11.229,P<0.001).The awareness rate of hypertension among students was 9.13%.The drug treatment rate of patients with grade 2 hypertension was 27.27%,and the main drugs were captopril tablets an amlodipine besylate tablets.Conclusions The prevalence of hypertension among middle school students in this county is basically consistent with relevant reports in China.Students have low awareness and treatment rates of hypertension and need to be treated with intensive medication.

关 键 词：中学生 高血压 药物治疗 

分 类 号：R181.377[医药卫生—流行病学]