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目的:调查兰州市社区40岁以上居民高血压病的患病情况并分析其相关危险因素。方法:整群随机抽取兰州市天庆嘉园社区1 969名40岁以上居民进行问卷调查,并测其身高、体重、腰围、血压、空腹血糖、餐后血糖、血脂。高血压的诊断以1999年中国高血压联盟提出的新标准为依据。调查居民中高血压的患病率、知晓率、治疗率和控制率,并分析高血压的相关危险因素。结果:40岁以上居民中高血压病患病率为43.47%,标化患病率为38.12%;男性患病率高于女性(39.41%比36.93%,P<0.001)。高血压知晓率为60.75%,治疗率40.07%,控制率为15.89%。Logistic回归分析结果表明,打鼾、空腹血糖升高、高血压家族史、常吃咸菜、年龄、常吃肉类、腰围增大均为高血压的危险因素。结论:兰州市居民高血压病患病率达38.12%,而知晓率、治疗率和控制率低,急需建立有效的综合干预策略。
Objective: To investigate the prevalence of hypertension in residents over 40 in Lanzhou community and to analyze the related risk factors. Methods: A total of 1 969 residents over the age of 40 were randomly selected from Tianqing Jiayuan Community of Lanzhou City for questionnaire survey. Height, weight, waist circumference, blood pressure, fasting blood glucose, postprandial blood glucose and blood lipids were measured. Hypertension is diagnosed on the basis of the new standard proposed by China’s Hypertension League in 1999. To investigate the prevalence, awareness rate, treatment rate and control rate of hypertension in residents and to analyze the related risk factors of hypertension. Results: The prevalence of hypertension was 43.47% and the standardized prevalence was 38.12%. The prevalence rate of male was higher than that of female (39.41% vs 36.93%, P <0.001). The awareness rate of hypertension was 60.75%, the treatment rate was 40.07% and the control rate was 15.89%. Logistic regression analysis showed that snoring, fasting blood glucose, family history of hypertension, eating pickles, age, eating meat, waist circumference were all risk factors of hypertension. Conclusion: The prevalence of hypertension is 38.12% in Lanzhou. However, the awareness rate, treatment rate and control rate are low, and an effective comprehensive intervention strategy is urgently needed.