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目的:通过对上海市某农村社区≥35岁人群血压水平进行普查,分析其中无高血压病史者血压水平在不同年龄组及性别间的特点,为高血压病防治提供依据。方法:以整群抽样的方法在上海市某农村社区抽取10000自然人群,选择其中≥35岁者进行高血压病普查,剔除其中有高血压病史者后对目标人群进行年龄、性别与血压的情况分析。结果:本研究共纳入5172名对象,其中男性2454名,女性2718名;平均年龄(53.3±12.7)岁。男性平均收缩压为(123.88±11.99)mmHg(1mmHg=0.133kPa),平均舒张压为(77.38±6.66)mmHg;女性平均收缩压为(120.12±12.72)mmHg,平均舒张压为(75.04±4.45)mmHg;男女性别组间收缩压和舒张压差异有显著统计学意义(P<0.01)。除男性>75岁年龄组外,血压水平均随着年龄的增长呈现上升趋势。高血压的总检出率为12.7%,除男性>75岁年龄组外,高血压筛出率随年龄增长而升高(P<0.01)。结论:在非高血压病人群中,男性各年龄组收缩压及舒张压水平较女性为高;除男性>75岁年龄组外,血压水平均随着年龄的增长呈上升趋势,并且高血压筛出率随年龄增长而增加。
OBJECTIVE: To investigate the blood pressure level in a rural community aged 35 or older in Shanghai and analyze the characteristics of blood pressure among different age groups and gender among those without history of hypertension, so as to provide basis for the prevention and control of hypertension. Methods: A cluster sampling method was used to select 10000 natural population in a rural community in Shanghai. The general population with ≥35 years of age was selected for general survey of hypertension, and the age, sex and blood pressure of the target population were excluded after the history of hypertension was excluded analysis. Results: A total of 5172 subjects were enrolled in this study, including 2454 males and 2718 females, with an average age of (53.3 ± 12.7) years. The average systolic blood pressure of male was (123.88 ± 11.99) mmHg (1mmHg = 0.133kPa) and average diastolic pressure was (77.38 ± 6.66) mmHg. The mean systolic blood pressure of male was (120.12 ± 12.72) mmHg and average diastolic pressure was (75.04 ± 4.45) mmHg. There was significant difference in systolic and diastolic blood pressure between men and women (P <0.01). Except male> 75-year-old age group, blood pressure level showed an upward trend with age. The overall detection rate of hypertension was 12.7%. Except male> 75 years old, the rate of hypertension screening increased with age (P <0.01). Conclusion: In non-hypertensive patients, systolic blood pressure and diastolic blood pressure were higher in all age groups than in women. Except male> 75-year-old age group, blood pressure level increased with age, The rate of increase with age.