北京市丰台区2010年主要慢病患病现状及与2002年对比分析

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目的掌握丰台区20岁及以上居民各类慢病患病情况,并与2002年进行对比分析,了解变化趋势。方法采用多阶段随机抽样的方法,抽取丰台区3个街道(乡)6个社区的20岁以上居民853人,对调查对象进行问卷调查、医学体检、实验室检测,了解居民高血压、超重肥胖、血脂异常、糖尿病的患病情况。结果 2010年丰台区20岁以上居民高血压患病率38.1%(标化患病率34.1%),超重患病率为35.6%(标准化率为38.2%),肥胖患病率为20.4%(标准化率为21.2%),糖尿病患病率为13.2%(标准化率为12.1%),高胆固醇血症患病率为4.3%(标准化率为3.9%),高甘油三酯血症患病率为18.6%(标准化率为19.8%),混合型高脂血症患病率为1.5%(标准化率为1.3%),低高密度脂蛋白血症患病率为11.7%(标准化率为12.8%),血脂异常患病率为27.1%(标准化率为27.9%)。高血压、肥胖、血脂异常等疾病发病率男性均高于女性(P﹤0.05)。与2002年相比,2010年丰台区20岁以上成年人的肥胖、超重肥胖、混合型高脂血症患病率出现下降,血脂异常患病率呈现升高趋势,而高血压及糖尿病的患病率差别无统计学意义。结论丰台区肥胖、超重肥胖、混合型高脂血症发病率降低,血脂异常患病率继续升高,高血压、糖尿病的患病率变化不大,应根据新的流行特点,调整和加强丰台区慢性病防治的工作重点。 Objective To understand the prevalence of various types of chronic diseases among residents aged 20 and over in Fengtai District, and compare them with those in 2002 to understand the changing trends. Methods A multistage random sampling method was used to collect 853 residents over 20 years of age from 6 communities in 3 streets (townships) in Fengtai District. The questionnaires, medical examinations and laboratory tests were conducted to investigate the prevalence of hypertension, overweight and obesity , Dyslipidemia, diabetes prevalence. Results The prevalence of hypertension in Fengtai District residents over the age of 20 was 38.1% (standardized rate of 34.1%) in 2010, the prevalence of overweight was 35.6% (standardized rate was 38.2%) and the prevalence of obesity was 20.4% (normalized Rate was 21.2%), the prevalence of diabetes was 13.2% (normalization rate was 12.1%), the prevalence of hypercholesterolemia was 4.3% (standardized rate was 3.9%), and the prevalence of hypertriglyceridemia was 18.6 % (Standardization rate was 19.8%), the prevalence of mixed hyperlipidemia was 1.5% (standardized rate was 1.3%), the prevalence of low-density lipoproteinemia was 11.7% (normalization rate was 12.8%), The prevalence of dyslipidemia was 27.1% (normalization rate was 27.9%). Hypertension, obesity, dyslipidemia and other diseases were higher in men than in women (P <0.05). Compared with 2002, the prevalence of obesity, overweight and obesity, and mixed hyperlipidemia among adults over the age of 20 in Fengtai District decreased in 2010, and the prevalence of dyslipidemia showed an increasing trend. Hypertension and diabetes The difference was not statistically significant. Conclusion The prevalence of obesity, overweight and obesity, mixed hyperlipidemia in Fengtai District was decreased, the prevalence of dyslipidemia continued to increase, and the prevalence of hypertension and diabetes did not change much. Therefore, Fengtai should be adjusted and strengthened according to the new epidemic characteristics. District chronic disease prevention and control work focus.
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