论文部分内容阅读
目的了解温州市瓯海区居民高血压流行病学状况。方法采用整群随机抽样的方法抽取2个村1872名18岁以上的常住居民,于2008年进行问卷调查、体格检查和实验室检测。结果调查人群平均收缩压为(129.3±19.8)mmHg,平均舒张压为(81.3±9.8)mmHg。高血压患病粗率为36.6%,标化患病率为24.3%,男性为26.9%,女性为21.6%。高血压人群知晓率为53.2%,服药率为43.4%,控制率仅为9.2%。在血压正常人群中,仅36.4%的人血压处于120/80mmHg(收缩压/舒张压)以下,有63.6%的人血压处于正常高值。高血压人群患糖尿病、高尿酸血症、血脂异常、超重和肥胖、代谢综合征的比例高于血压正常人群。Logistic多因素回归分析显示,高血压家族史、糖尿病、高TG血症、超重和肥胖、经常饮酒、腰围和年龄大是高血压患病的危险因素,而文化程度高是保护因素。结论温州市瓯海区居民高血压患病率与1991年相比明显增长(近1倍),而知晓率、服药率和控制率仍偏低。
Objective To understand the epidemiological status of hypertension among residents in Ouhai District of Wenzhou City. Methods A total of 1872 permanent residents over 18 years old in 2 villages were sampled by cluster random sampling method. In 2008, questionnaires, physical examination and laboratory tests were performed. Results The average systolic blood pressure (129.3 ± 19.8) mmHg and mean diastolic blood pressure (81.3 ± 9.8) mmHg in the surveyed population were statistically significant. Hypertensive prevalence rate was 36.6%, standardized prevalence was 24.3%, 26.9% for men and 21.6% for women. Hypertensive population awareness rate was 53.2%, medication rate was 43.4%, the control rate was only 9.2%. Among normotensive individuals, only 36.4% of human blood pressure was below 120/80 mmHg (systolic / diastolic), with 63.6% of human blood pressure at normal highs. Hypertensive people suffering from diabetes, hyperuricemia, dyslipidemia, overweight and obesity, the proportion of metabolic syndrome than normal blood pressure. Logistic multivariate regression analysis showed that family history of hypertension, diabetes mellitus, hypercholesteremia, overweight and obesity, frequent alcohol consumption, waist circumference and age were the risk factors of hypertension, and the high education level was the protective factor. Conclusions The prevalence of hypertension in Ouhai district of Wenzhou City was significantly higher than that in 1991 (nearly double that of 1991), while the awareness rate, medication rate and control rate were still low.