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目的 :研究 1999年 9月～ 2 0 0 2年 9月伏牛山东南麓地区门诊原发性高血压 (EH)及相关疾病患者的主要病因及靶器官损害程度等多项流行病学指标构成情况。方法 :按照 1999年WHO/ISH及《中国高血压防治指南》标准进行分类、分级和危险分层 ,研究数据由SPSS10 .0软件包处理。结果 :74 1例EH患者 (平均年龄5 2 .5± 5 .6岁 ,男女之比为 1∶1.16 ) ;1级 3.37% ;2级 19.70 % ;3级 76 .92 %。有家族史者 5 0 .74 % ,有吸烟史6 9.6 8% ,有饮酒史 6 3.85 % ,食盐量 >10g/d者 85 .83% ,超重与肥胖者 74 .5 0 % ,危险分层 :低危组 2 .5 6 % ,中危组2 0 .11% ,高危组 32 .5 2 % ,极高危组 4 6 .2 9%。心血管疾病 4 5 .75 % ,脑血管病 31.98% ,肾功能不全或衰竭者2 1.73% ;EH伴糖尿病者 10 .39%。血管疾病 :腹主动脉夹层 0 .14 % ,症状性动脉疾病 33.6 0 % ,眼底动脉出血或渗血、视神经乳头水肿 17.14 % ,心脑肾均有明显病变者 2 1.19%。结论 :吸烟、饮酒、高钠饮食、超重、遗传是EH的主要危险因素 ,而高血压又是心、脑、肾等靶器官受损的主要危险因素。积极开展高血压三级预防是EH防治工作的重要环节 ,是当前慢性非传染性疾病防治工作中的迫切任务
OBJECTIVE: To study the epidemiological features of major etiology and degree of target organ damage in outpatients with essential hypertension (EH) and related diseases in the south foot of Funiu Mountain from September 1999 to September 2002 Happening. Methods: According to the 1999 WHO / ISH and Guidelines for Prevention and Treatment of Hypertension in China, classification, classification and risk stratification were conducted. The data were processed by SPSS10.0 software package. Results: One hundred and seventy-one patients with EH (average age 52.5 ± 5.6 years old, male to female ratio was 1: 1.16); grade 1 3.37%; grade 2 19.70%; grade 3 76.92%. Family history of 50.74%, history of smoking 6 9.68%, drinking history of 6 3.85%, salt content> 10g / d of 85.83%, overweight and obesity 74.50%, risk stratification : Low risk group 2.56%, medium risk group 20.11%, high risk group 32.52%, very high risk group 46.29%. 45.5% of cardiovascular disease, 31.98% of cerebrovascular disease, and 1.73% of those with renal insufficiency or failure; 10.39% of those with EH and diabetes. Vascular diseases: 0.14% of abdominal aortic dissection, 33.6% of symptomatic arterial disease, retinal artery bleeding or oozing, optic nerve head edema 17.14%, heart and brain lesions were significantly lesion 2 1.19%. Conclusion: Smoking, drinking, high sodium diet, overweight and heredity are the main risk factors of EH. Hypertension is also a major risk factor of target organ damage such as heart, brain and kidney. To actively carry out tertiary prevention of hypertension is an important part of EH prevention and control and an urgent task in the prevention and control of chronic non-communicable diseases