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目的分析2014—2016年平凉市实施国家基本公共卫生服务项目以来,18岁以上人群高血压患病及管理情况,为针对性地建立和完善区域性慢性病防控策略提供依据。方法利用国家基本公共卫生服务项目管理系统资料,分析2014—2016年平凉市高血压患病现况(指标主要包括:患病率、管理率、人群分布情况等)及管理情况。结果高血压患病率分别为9.47%、11.12%和14.33%,呈现缓慢上升,但均低于全国水平25.2%;不同县(区)高血压患病率及管理率有差异;高血压病人以女性(56.11%)、汉族居多(93.58%),发病年龄主要集中在60岁以上(71.07%);管理率出现一定程度下降。结论实施国家基本公共卫生服务项目以来平凉市高血压患病率缓慢上升,管理率与国家目标相比有待提升;倡导全方位健康管理,提高主动卫生服务意识与水平,加强主动监测,是完善和改进当地慢性病防控策略的侧重点。
Objective To analyze the prevalence and management of hypertension in people over the age of 18 years since the implementation of the national basic public health service project in Pingliang City from 2014 to 2016 so as to provide the basis for establishing and perfecting the regional prevention and control strategies for chronic diseases. Methods Based on the data of the national basic public health service project management system, the prevalence of hypertension in Pingliang City from 2014 to 2016 (indicators including prevalence, management rate, population distribution, etc.) and management were analyzed. Results The prevalence of hypertension was 9.47%, 11.12% and 14.33% respectively, showing a slow increase but lower than the national average of 25.2%. The prevalence and management rate of hypertension in different counties (districts) were different. Female (56.11%), Han majority (93.58%), the age of onset are mainly concentrated in the 60-year-old (71.07%); management rate decreased to a certain extent. Conclusions The prevalence of hypertension in Pingliang City has risen slowly since the implementation of the national basic public health service project, and the management rate needs to be improved compared with the national target. Advocating health management in all dimensions, raising the awareness and level of active health service and strengthening active monitoring are the key factors to improve and Improve the local chronic disease prevention and control strategy focus.