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目的了解四川省4县(区)居民主要慢性病的患病状况,为制定相关疾病预防和控制措施提供科学依据。方法在四川省九寨沟县、汉源县、资中县和攀枝花仁和区4个慢病危险因素监测点,采取多阶段分层随机抽样的方法抽取1 680名18~69岁居民,采用问卷调查人口学、主要慢病患病及相关危险因素等,体格检查测量身高、体重、血压等。结果四川省4县(区)调查人群年龄在18~69岁,其中男性775(46.24%),女性901人(53.76%)。高血压患病率为14.56%,标化率为11.62%;血脂异常率为0.54%,标化率为0.43%;糖尿病患病率为0.60%,标化率为0.42%;其他心血管疾病(冠心病、风湿性心脏病等)患病率为1.79%,标化率为1.38%。高血压、血脂异常和糖尿病患者定期监测血压、血脂和血糖的频率较低;大多采用按医嘱服药和控制饮食的方法来控制病情,高血压患者2种措施比例分别为80.70%和28.07%,血脂异常为6人、5人,糖尿病均为80.00%。结论四川省4县(区)高血压患病率略低于全国水平,血脂异常、糖尿病及其他心血管疾病患病率均低于广州、北京等发达地区。慢病患者的综合防治行为较差。高血压和心血管疾病有明显的性别差异。应加强对居民慢性病防治知识的健康教育,使其提高自我保健意识;规范慢性病患者管理;对不同性别高血压等心血管疾病患者进行分类管理。
Objective To understand the prevalence of major chronic diseases among residents in 4 counties (districts) of Sichuan Province and provide a scientific basis for the establishment of related disease prevention and control measures. Methods A total of 1 680 18- to 69-year-old residents were sampled by multi-stage stratified random sampling at four monitoring points of chronic disease risk in Jiuzhaigou County, Hanyuan County, Zizhong County and Renzhu District in Panzhihua County, Sichuan Province. , The main chronic disease and related risk factors, physical examination to measure height, weight, blood pressure and so on. Results The population of 4 counties (districts) in Sichuan Province was between 18 and 69 years old, including 775 (46.24%) males and 901 females (53.76%). The prevalence of hypertension was 14.56%, the standardization rate was 11.62%, the rate of dyslipidemia was 0.54%, the standardization rate was 0.43%, the prevalence of diabetes was 0.60% and the standardization rate was 0.42%. Other cardiovascular diseases Coronary heart disease, rheumatic heart disease, etc.) prevalence was 1.79%, the standardization rate was 1.38%. Hypertension, dyslipidemia and diabetes patients with regular monitoring of blood pressure, blood lipids and blood glucose frequency is low; mostly by taking medicine and diet control methods to control the disease, the proportion of patients with hypertension were 80.70% and 28.07%, respectively, Abnormal 6, 5, diabetes are 80.00%. Conclusions The prevalence of hypertension in 4 counties (districts) in Sichuan Province is slightly lower than that of the whole country. The prevalence of dyslipidemia, diabetes and other cardiovascular diseases are lower than those in Guangzhou and Beijing. The comprehensive prevention and treatment of patients with chronic diseases is poor. Hypertension and cardiovascular disease have significant gender differences. Health education should be strengthened on residents’ knowledge of chronic disease prevention and control so that they can raise their awareness of self-care; regulate the management of patients with chronic diseases; and classify patients with cardiovascular diseases such as different gender and hypertension.