金川县农村居民高血压患病和知晓情况分析.docVIP

金川县农村居民高血压患病和知晓情况分析 　　[摘要] 目的：了解金川地区农村居民高血压病的患病率、知晓率及影响因素，为制定高血压病的防治措施和策略提供依据。方法：对金川地区农村居民于2004～2006年在我院门诊确诊的15周岁以上的高血压病人进行面对面询问调查。结果：确诊高血压患病人数1 358例，占同期就诊农村居民病人数(12 201例)的8.98%，在1 358例确诊高血压的病人中，首次就诊并且从未测量过血压的1 223例，占90.06%，复诊且测量过1次以上血压的135例，知晓率为9.94%，低于全国平均水平。结论：金川地区农村居民高血压病的门诊患病率、知晓率均低于全国平均水平。 　　[关键词] 高血压；农村居民；知晓率；门诊医疗 　　[中图分类号]R195.4 [文献标识码]A [文章编号]1673-7210（2008）09（b）-096-02 　　 　　An analysis of the prevalence and knowledge of hypertension of the rural residents In Jinchuan 　　WANG Zheng-bin 　　(Jinchuan Peoples Hospital,Jinchuan 624100,China) 　　[Abstract] Objective:To realize the prevalence of hypertension and the penetration rates of the knowledge about hypertension in the rural areas residents in Jinchuan. The purpose was to provide a basis of working out the countermeasure for prevention and curing hypertension. Methods:To investigate the rural areas residents face to face in Jinchuan who were more than 15 years old and was made a definite diagnosis in our hospital during 2004~2006.Results:1 358 cases were diagnosed with hypertension, of the number(12 201) of 8.98% over the same period. In 1 358 cases,1 223 cases were the first diagnosed hypertension and have never been measured blood pressure, accounting for 90.06%; Referral and blood pressure measuring more than once were 135 people, awareness rate was 9.94%, lower than the national average level. Conclusion:Jinchuan rural residents in out-patient hypertension prevalence rate, the awareness levels were lower than the national average. 　　[Key words] Hypertension;The rural residents;Popularizing rate;Out-patient medical care 　　 　　为了解金川地区农村居民高血压的患病、知晓情况及影响因素，对2004～2006年在我院确诊的1 358例农村居民高血压病人就诊情况进行分析，其高血压病的门诊患病率、知晓率分别为8.98%和9.94%，现报道如下： 　　1资料与方法 　　1.1资料来源 　　1 358例均为我院内科2004～2006年门诊确诊的农村居民高血压病病人，其中男1 125例,女233例,初诊1 223例,复诊135例,年龄18～76岁,平均47.3岁,皆因头痛、头昏、耳鸣、乏力、眼花、甚至昏迷等症状来院就诊，既往无糖尿病、痛风、冠心病、心衰、脑血管病、周围血管病和肾脏疾病史，排除继发性高血压。 　　1.2质量控制 　　检查所用血压计为标准水银柱血压计,均经过计量认证。统一血压测量方法：患者测量前静坐5 min，取坐位，使肘部与心脏在同一水平面,测量右上臂肱动脉