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目的 了解宁波市城乡高血压患病情况及影响因素。方法 随机抽取城市、农村各 2个点进行血压、血糖、血脂、体重指数及病史等项目检测。结果 宁波市高血压总患病粗率为 34 77% ,标化患病率为19 98% (按照 1982年全国人口普查统计数据标化 ,下同 )。城市高血压患病率 35 4 4 % ,标化患病率为18 0 5 % ,农村高血压患病率为 34 12 % ,标化患病率为 2 1 4 9% ;6 0岁以上老年人高血压患病率为 6 2 72 % ,标化患病率为 6 0 17% ,单纯收缩期高血压占老年患病人数的 5 1 4 2 % ;高血压知晓率 5 0 0 % ,治疗率 4 3 1% ,控制率 8 9% ;体重指数≥ 2 4 ;高血压患病率明显增高 ;高血压患者中 12 92 %血糖异常 ,5 3 2 3%血脂异常 ,7 4 9%尿酸异常。结论 宁波市城乡高血压患病率呈快速增长趋势 ,与其生活方式的改变、体重超重、饮酒、摄钠过多及家族史等因素有关。高血压知晓率、治疗率、控制率不理想 ,尤其是农村 ,必须尽快采取干预措施。
Objective To understand the prevalence of hypertension in urban and rural Ningbo and its influencing factors. Methods Blood pressure, blood glucose, blood lipid, body mass index and medical history were randomly selected from two cities in urban and rural areas. Results The total prevalence of hypertension in Ningbo was 34.77%, and the standardized prevalence rate was 19.98% (standardized according to the 1982 national census statistics, the same below). The prevalence rate of urban hypertension was 35 4 4%, the standardized prevalence rate was 18 0 5%, the prevalence rate of hypertension in rural areas was 34 12%, and the standardized prevalence rate was 2 1 49%. The prevalence rate of over 60 years old The prevalence rate of hypertension was 6272%, standardized prevalence rate was 60.17%, isolated systolic hypertension accounted for 51.42% of elderly patients, and hypertension was 50% The rate of 431%, the control rate of 8 9%; body mass index ≥ 2 4; the prevalence of hypertension was significantly higher; 12 92% of hypertensive patients with abnormal blood glucose, 532 3% dyslipidemia, 749% uric acid abnormalities . Conclusion The prevalence of hypertension in urban and rural areas of Ningbo shows a rapid growth trend, which is related to lifestyle changes, overweight, alcohol consumption, excess sodium intake and family history. Hypertension awareness rate, treatment rate, control rate is not ideal, especially in rural areas, we must take interventions as soon as possible.