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目的 :探讨浙江省高血压的流行趋势及主要影响因素 ,为我省高血压社区综合防治措施的制定和开展提供可靠的科学依据。方法 :采用心血管流行病学调查方法手册的方法及标准 ,对浙江省嘉兴 (农村 )、绍兴 (城市 )、丽水 (城镇 )三地区 2 5～ 74岁的自然人群 4841人进行高血压影响因素、膳食结构及健康知识调查。所得数据采用 χ2检验、相关系数、危险度强弱指标分析。结果 :1三地区高血压总患病率 2 5 .2 7% ,标化率 2 1.0 6 %。城市高于农村 ,但农村高血压增长率为城市的 1.6倍。 2收缩压、舒张压均随年龄递增 ,40岁始患病率明显增高 ( >2 0 % ) ,显示高血压的患病高峰年龄有提前趋势。 3危险强度指标 RR>1.5的影响因素顺位为年龄、心脑血管病史、高血糖、超重、高血脂 ;RR<1的影响因素为职业、文化程度、经济收入 ;血压与性别、吸烟无相关性。结论 :1三地区高血压患病率呈急剧上升趋势 ,以农村人群为著。 2患病年龄有提前趋势。 3高血压影响因素发生改变 ,提示血糖增高、超重、高血脂是我省高血压的最主要危险因素
Objective: To explore the prevalence and main influencing factors of hypertension in Zhejiang Province and provide reliable scientific basis for the formulation and implementation of comprehensive prevention and control measures for hypertension community in our province. Methods: According to the methods and standards of Cardiovascular Epidemiology Methodology Manual, 4841 people of natural population from 25 to 74 in Jiaxing (rural), Shaoxing (city) and Lishui (urban) , Dietary structure and health knowledge survey. The data obtained using χ2 test, correlation coefficient, the strength of risk index analysis. Results: The prevalence of hypertension in three regions was 25.27% and the standardization rate was 2 1.06%. The city is higher than the rural areas, but the growth rate of rural hypertension is 1.6 times that of the city. 2 systolic blood pressure and diastolic blood pressure are increasing with age, 40-year-old prevalence was significantly higher (> 20%), indicating the peak age of hypertension prevalence trend. 3 The risk factors for RR> 1.5 The factors affecting the age, cardiovascular and cerebrovascular disease history, hyperglycemia, overweight and hyperlipidemia; RR <1 factors for occupation, education level, economic income; no correlation between blood pressure and gender, smoking Sex. Conclusions: The prevalence of hypertension in three areas shows a sharp upward trend, with the rural population as the priority. 2 age of illness have an earlier trend. 3 Hypertension factors change, suggesting that elevated blood sugar, overweight, high blood lipids in our province is the most important risk factor for hypertension