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目的探讨上海中心城区50岁以上人群高血压的患病情况。方法分析上海市静安区静安寺街道老年人群研究队列(Shanghai aging study,SAS)数据库相关数据,调查上海中心城区50岁及以上人口高血压的患病情况。结果共计入选50岁及以上人群3 804例,男性1 691例,占总人群的44.4%。调查人群高血压总患病率为70.7%(2691/3 804),其中高血压患病率男性为74.8%,女性为67.5%(P<0.01)。高血压人群以单纯收缩期高血压为主,占诊断高血压人群的61.7%(1 660/2 691),原有高血压者血压控制达标率为28.8%(578/2 005)。无论男女,随着年龄的增长,高血压患病率逐渐升高,女性在65岁前高血压的患病率低于男性,但65岁后迅速增高,在75岁以后差异不明显。收缩压升高在140~160 mmHg以60~70岁人群居多,而收缩压升高在160 mmHg以上以70岁以上人群居多。结论上海中心城区50岁以上人群高血压患病率较高,女性低于男性,但75岁以后男女患病率接近,且年龄越大,血压升高越明显。
Objective To investigate the prevalence of hypertension in people over 50 years old in downtown Shanghai. Methods The data of Shanghai aging study cohort (SAS) from Jing’an Temple Street, Jing’an District, Shanghai were analyzed to investigate the prevalence of hypertension in people aged 50 years and older in downtown Shanghai. Results A total of 3 804 cases were enrolled in the study population aged 50 and above, including 1 691 males, accounting for 44.4% of the total population. The total prevalence of hypertension in the survey population was 70.7% (2691/3 804), of which the prevalence of hypertension was 74.8% in males and 67.5% in females (P <0.01). Essential hypertension in patients with simple systolic hypertension, accounting for 61.7% of the population diagnosed with hypertension (1 660/2 691), the original hypertension control rate of 28.8% (578/2 005). Both men and women, with age, the prevalence of hypertension gradually increased, the prevalence of hypertension in women before 65 years old than men, but rapidly increased after 65 years of age, after 75 years of age was not significantly different. Systolic blood pressure increased at 140 ~ 160 mmHg to 60 to 70-year-old population, and systolic blood pressure increased at 160 mmHg above the majority of people over the age of 70. Conclusion The prevalence of hypertension in people over 50 years of age in downtown Shanghai is higher than that of men, but the prevalence of men and women is similar after 75 years of age. The older the age, the more obvious the hypertension is.