西安市原发性高血压患病情况流行病学探究.docVIP

西安市原发性高血压患病情况流行病学探究【摘要】 目的 了解西安市区城乡原发性高血压患病情况。方法 以社区为基础对城乡社区46833人的原发性高血压进行调查。结果 在35岁以上人群中,城乡高血压患病率分别为30%与28.2%,城市高血压的患病率明显高于农村。城乡非高血压人群中,均约有一半的人具有高血压的危险因素。城市高血压的知晓率、治疗率控制率分别为74.7%、30.1%与12.5%,农村则为57.8%、20.1%与10.7%。城乡既往诊断的高血压患者中,均有一半以上的人未服药治疗。城乡新检出高血压患者类型构成相似,均以轻度与单纯收缩期高血压为主。结论 在西安市城乡社区亟需开展高血压病的综合防治工作,普及预防高血压知识,对高血压患者予以系统地管理与治疗。 【关键词】 原发性高血压;患病率;流行病学 Epidemiological study of essential hypertension in the Xian areas of Shanxi province ZUO Li-rong,WU Xiao-qi.Sanitary Supervision Bureau.Xian, Shanxi Province 710054, China 【Abstract】 Objective To understand the epiemiogical hypertension in the Xian area.Methods A community-based survey on essential hypertension was carried out in urban and rural areas involving 46833 population.Results The prevalence rate of hypertension in age 35 year and over was 30.5% and 28.2%.In urban they were significantly higher than of the rural area.Among non-hypertensive people,more than 50.0% of them had risk factors of hypertension in both urbanrural areas.The rate ofawareness, treatment and control of hypertension were 74.4%,30.1% and 12.5% respectively in the urban area,comparing to 57.8%,20.1% and 10.7% respectively in the rural area.More than half of the diagnosed patients before survey did not take antihypertensive medicine for treatment in both areas.The propotions of the classification of hypertension were similar in both areas.The propotions of the classification of hypertension were similar in both areas chiefly mild and simpl systolic hypertension.Conclusions It is demonstrated that there is an urgent need to carry out comprehensive prevention and control for hypertension in the urban and rural areas. 【Key words】 Essential Hypertension; Prevalaence rate;Epidemiology 原发性高血压作为心脑血管的主要原因,其上升趋势未得到控制,1991年我国15岁以上人口高血压患者已达到11.6%,比1959年的5.11 %和1979年的7.73%分别增长了127%和50%。近二、三十年来,国内外高血压的防治研究发展较快,世界卫生组织高血压控制委员会建议把高血压控制作为减少心血管疾病危险因素的全球综合策略的一部分,并提出高血压综合防治应同时达到的两个目标:①降低全球人群尤其是高血压的易患人群发生高血压的危险;②检出具有心血管疾病危险因素的高血压患者并给与治疗和控制。针对原发性高血