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目的了解桂林市城市居民高血压流行情况,分析其危险因素,为桂林市高血压综合防治提供科学依据。方法采取多阶段分层随机整群抽样的方法,通过问卷调查和体格检查,对桂林市城区5 197名18岁以上常住居民高血压患病及其危险因素的流行水平进行分析。结果桂林市城市居民高血压患病率为25.07%,标化率为22.76%。高血压知晓率、治疗率、控制率分别为61.16%、53.80%、29.70%。不同年龄、文化程度、婚姻状态患病率差异有统计学意义(P<0.01)。多因素非条件logistic回归分析,年龄、经济收入、身体锻炼、超重肥胖、中心性肥胖是高血压的主要影响因素。结论桂林市城市居民高血压患病率处于较高水平,需开展对全人群和高危人群的综合干预。加强对中老年人、超重肥胖、中心性肥胖人群的健康教育,提倡健康的生活方式,对高血压及并发症的防治具有重要意义。
Objective To understand the prevalence of hypertension among urban residents in Guilin, analyze its risk factors and provide a scientific basis for comprehensive prevention and control of hypertension in Guilin. Methods A multistage stratified stratified random cluster sampling method was used to analyze the prevalence of hypertension and its risk factors among 5 197 permanent residents over the age of 18 in Guilin City through questionnaires and physical examinations. Results The prevalence of hypertension was 25.07% and the standardization rate was 22.76% in Guilin. Hypertension awareness rate, treatment rate, control rates were 61.16%, 53.80%, 29.70%. The prevalence of different age, education level and marital status was significantly different (P <0.01). Multivariate non-conditional logistic regression analysis showed that age, economic income, physical exercise, overweight and obesity, central obesity were the main influencing factors of hypertension. Conclusion The prevalence of hypertension in urban residents in Guilin is at a high level, and comprehensive intervention in both the whole population and high-risk groups needs to be carried out. To strengthen the health education of middle-aged and elderly, overweight and obese, central obese people and to promote healthy lifestyles is of great significance for the prevention and treatment of hypertension and complications.