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[目的]了解河南农村社区居民原发性高血压的患病率及其危险因素。[方法]在河南省的两个农村社区以村(组)为单位,随机抽取18岁及以上的居民进行问卷调查、体格检查和血液生化检测。[结果]研究对象共984人,原发性高血压的粗患病率为25.61%,年龄标化患病率为19.40%。年龄﹤35岁组、35～组、45～组、55～组、65～组及75岁以上组的患病率分别为7.41%、13.77%、23.29%、39.90%、53.47%和53.13%,随年龄的增加高血压的患病率呈现逐渐升高趋势(趋势P﹤0.0001)。与正常人相比超重和/或肥胖者、血清甘油三酯水平高者患高血压的危险性较高,OR值分别是3.08和1.24。[结论]河南农村社区居民原发性高血压的患病率已达到相当高的水平,超重和/或肥胖、血清甘油三酯水平是河南农村社区居民高血压的独立危险因素。
[Objective] To investigate the prevalence and risk factors of essential hypertension in rural community in Henan province. [Method] In two rural communities of Henan Province, villages (groups) were taken as a unit, and residents aged 18 years and above were randomly selected for questionnaire survey, physical examination and blood biochemical test. [Result] A total of 984 subjects were studied. The crude prevalence of essential hypertension was 25.61%, and the age-standardized prevalence was 19.40%. The prevalence rates of patients aged 35 years, 35 years, 45 days, 55 days, 65 days, and 75 years old were 7.41%, 13.77%, 23.29%, 39.90%, 53.47% and 53.13%, respectively. The prevalence of hypertension increased with age (trend P <0.0001). People with overweight and / or obesity as compared with normal people have a higher risk of developing hypertension with high serum triglyceride levels, with odds ratios of 3.08 and 1.24, respectively. [Conclusion] The prevalence of essential hypertension in rural community of Henan Province has reached a quite high level. Overweight and / or obesity, serum triglyceride level are independent risk factors of hypertension in rural community of Henan Province.