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目的了解天水地区农村人口的高血压病发病状况、流行特点及危险因素,从而有针对性地开展农村高血压的防治措施。方法用分层随机整群抽样方法,抽取在当地居住满5年,35岁以上农村常住居民23 600名。采用统一表格进行入户问卷调查。结果该地区高血压的患病率为24.04%,35岁后患病率开始上升,55~64岁上升速度最明显,65岁后出现小幅下降,整体上是男性高血压患病率略高于女性。调查人群高血压病知晓率为27.27%,服药率为5.24%,控制率为1.62%。结论从调查结果分析,天水农村地区为甘肃省原发性高血压患病率较高的地区,高血压患者在不同年龄段差异有统计学意义,且男性高血压患病率高于女性。高血压患病危险因素较多,保护因素较少。高血压病知晓率与1991年统计数据比较有所增高,但服药率和控制率仍然很低。
Objective To understand the prevalence, epidemiological characteristics and risk factors of hypertension in rural population in Tianshui area, so as to carry out prevention and treatment measures of rural hypertension in a targeted manner. Methods A stratified random cluster sampling method was used to extract 23 600 rural residents over 35 years of age living in the area. Use a unified form for household survey. Results The prevalence rate of hypertension in this area was 24.04%. The prevalence rate began to rise after 35 years of age. The most obvious rate of increase was 55-64 years old. After the age of 65, there was a slight decrease. The overall prevalence of hypertension was slightly higher female. The survey of hypertension awareness rate was 27.27%, medication rate was 5.24%, the control rate was 1.62%. Conclusions From the survey results, rural areas in Tianshui are the areas with the highest prevalence of essential hypertension in Gansu Province. There are significant differences in hypertension among different age groups, and the prevalence of hypertension in males is higher than that in females. More risk factors for hypertension, fewer protective factors. Hypertension awareness and 1991 statistics have increased, but the rate of medication and control rates are still low.