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目的摸清红河州居民慢性非传染性疾病(慢性病)流行情况和分布规律,为红河州制定慢性病防控相关政策提供科学依据。方法采用多阶段分层随机整群抽样的方法,对红河州4704名18岁及以上常住居民进行问卷调查、体格测量和实验室检测。结果 2014年红河州18岁及以上居民肥胖率为10.7%,高血压患病率为20.5%,糖尿病患病率为5.3%,高胆固醇(TC)血症患病率为11.1%,高低密度脂蛋白胆固醇(LDL-C)血症患病率为5.2%,低高密度脂蛋白胆固醇(HDL-C)血症患病率为10.7%,高甘油三酯(TG)血症患病率为20.4%,血脂异常患病率32.7%,代谢综合征患病率13.7%。高血压患者知晓率、治疗率和控制率分别为39.2%、32.4%和11.0%。糖尿病患者知晓率、治疗率和控制率分别为51.4%、45.4%和37.8%。血脂异常患者知晓率、治疗率和控制率分别为12.7%、7.5%和4.9%。结论红河州居民慢性病流行形势严峻,“三低一高”现象明显,亟待加强红河州慢性病综合防控工作。
Objective To find out the prevalence and distribution of chronic non-communicable diseases (chronic diseases) in Honghe Prefecture and to provide a scientific basis for formulating policies on prevention and control of chronic diseases in Honghe Prefecture. Methods A multistage stratified stratified random cluster sampling method was used to survey 4704 residents aged 18 years and over in Honghe Prefecture. The questionnaires, physical measurements and laboratory tests were conducted. Results In 2014, the obesity rate of residents aged 18 years and older in Honghe Prefecture was 10.7%, the prevalence of hypertension was 20.5%, the prevalence of diabetes was 5.3%, the prevalence of hypercholesterolemia was 11.1%, the high and low density The prevalence of lipoprotein cholesterol (LDL-C) is 5.2%, the prevalence of low-density lipoprotein cholesterol (HDL-C) is 10.7% and the prevalence of high blood triglyceride (TG) is 20.4%, the prevalence of dyslipidemia 32.7%, the prevalence of metabolic syndrome 13.7%. Hypertension patients awareness, treatment and control rates were 39.2%, 32.4% and 11.0%. The rate of awareness, treatment and control of diabetic patients were 51.4%, 45.4% and 37.8% respectively. Patients with dyslipidemia awareness, treatment and control rates were 12.7%, 7.5% and 4.9%. Conclusions The prevalence of chronic diseases in Honghe Prefecture is severe, and the phenomenon of “three low and one high” is obvious. It is urgent to strengthen the comprehensive prevention and control of chronic diseases in Honghe Prefecture.