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目的 了解广东省高血压患病率、知晓率、治疗率和控制率的变化情况。方法 2 0 0 2年与 1 991年两次高血压调查抽样对象均为广东省 1 5岁及以上常住人口 ,采用多阶段分层整群抽样 ,按照国际通用血压测量方法和有关质量控制规定对血压进行测量 ,对人群中与血压有关的基本情况进行询问。利用两次高血压调查的数据 ,比较 1 5岁及以上人群高血压患病率及防治效果变化情况。结果 1 991年有效血压测量人数 4 2 898人 ,男性 1 92 4 0人 ,女性 2 36 5 8人 ,2 0 0 2年有效血压测量人数1 5 4 6 4人 ,男性 6 6 6 7人 ,女性 8797人。人群平均收缩压从 1 991年的 1 1 7 0mmHg上升到 2 0 0 2年的1 1 8 8mmHg ,上升了 1 8mmHg ,舒张压则从 71 0mmHg上升到 74 3mmHg ,上升了 3 3mmHg。 1 991年的高血压标化患病率、知晓率、治疗率及控制率分别为 1 0 0 %、2 5 5 %、1 2 3%、3 2 % ,2 0 0 2年则分别为 1 1 7%、30 3%、2 4 8%、6 9% ,较 1 991年上升 1 7%、1 9%、1 0 1 %及 1 1 6 %。结论 广东省高血压患病率呈稳步上升趁势 ,防治效果有所改善 ,但与西方发达国家相比仍有差距。
Objective To understand the prevalence of hypertension, awareness rate, treatment rate and control rate in Guangdong Province. Methods The subjects of two high blood pressure surveys in 2002 and 1991 were all resident population aged 15 years and over in Guangdong Province. The patients were stratified by multistage stratified sampling, according to the international common blood pressure measurement method and the relevant quality control regulations Blood pressure was measured and the population was asked about the basic conditions associated with blood pressure. The data of two hypertension surveys were used to compare the prevalence of hypertension and the prevention and control of hypertension in people aged 15 and over. Results The number of valid blood pressure measurement in 1991 was 4 2898, of which 1 920 were male and 2 36 58 were female. In 2005, the number of valid blood pressure measurement was 1 5 4 6 4, male 6 6 6 7, 8797 women. The average systolic blood pressure increased from 1170mmHg in 1991 to 118.8mmHg in 2001, increased by 18mmHg, and diastolic blood pressure increased from 71OmmHg to 743mmHg, an increase of 33mmHg. The prevalence, awareness rate, treatment rate and control rate of hypertension in 1 991 were 100%, 25%, 123% and 32% respectively, while those in 2002 were respectively 1 1 7%, 30 3%, 24 48% and 69% respectively, up 17%, 19%, 101% and 116% over that of 1991 respectively. Conclusion The prevalence of hypertension in Guangdong Province has been rising steadily and the control effect has been improved. However, there is still a gap compared with the developed countries in western countries.