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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 To describe the prevalence of hypertension among residents in Keshan disease in China in 2008 and provide a reasonable scientific basis for the prevention and control of hypertension in the vulnerable population in China. Methods A total of 46 084 inhabitants were enrolled in the randomized multistage cluster sampling method in this study. Demographic data and clinical examination were used to investigate the hypertension. The diagnosis of hypertension Guide to Prevention and Treatment of Hypertension (revised edition 2010) as a standard. Results Of the 12 provinces surveyed in 2008, 46 084 were residents aged 18 and above, of whom 11 359 were hypertensive patients, with a prevalence of 24.6%. The prevalence of males was 24.9%. The prevalence of females The prevalence of hypertension increased with age, the prevalence of different age groups were statistically different between all levels of hypertension, hypertension alone 2 884 (25.4%), a high The blood pressure was 3 561 (31.4%), secondary hypertension was 3 096 (27.2%) and tertiary hypertension was 1818 (16.0%). There were significant differences in hypertension among different age groups. Conclusion In 2008, the prevalence of hypertension in Keshan disease was significantly higher than the national average, so effective tertiary prevention measures should be developed for residents of ward.