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目的调查广州市高血压发病情况及影响因素。方法 按统一方法抽样调查广州市荔湾区 2 5岁以上居民10 0 2 1人 ,了解血压血脂、血糖及体重指数等情况。结果 高血压患病粗率 2 5 .87%,标化患病率 2 0 .34 %,随着增龄高血压患病率增加 ,45岁以上人群增加幅度很大 ,单纯收缩期高血压患病率 16 .6 4%,6 5岁以上老年人单纯收缩期高血压患病率明显增加、血脂异常率、超重肥胖发生率及血糖异常率 ,高血压组明显高于正常血压组。高血压知晓率6 2 .19%,治疗率 37.40 %,控制率 2 4.0 0 %。结论 广州地区从全国高血压患病率最低的省份之一 ,上升为全国高血压病率高发区之一 ,患病率增加的原因与经济发展 ,工作紧张程度 ,生活方式 ,肥胖血脂血糖代谢异常有关 ,高血压知晓率、治疗率控制率高于全国调查水平 ,但低于先进国家水平。
Objective To investigate the incidence and influencing factors of hypertension in Guangzhou. Methods According to a uniform sampling method, 1022 residents aged 25 years and older in Liwan District of Guangzhou City were investigated to understand the blood pressure, blood glucose and body mass index. Results The prevalence of hypertension was 25.87%, the standardized prevalence was 20.34%. With the increasing prevalence of age-related hypertension, the increase of hypertension in people over 45 years old was very high. The prevalence of isolated systolic hypertension The prevalence of isolated systolic hypertension was significantly higher in elderly over 65 years old. The prevalence of dyslipidemia, overweight and obesity, and abnormal blood glucose were significantly higher in hypertension group than in normal blood pressure group. The awareness rate of hypertension was 6.21%, the treatment rate was 37.40%, and the control rate was 4.0%. Conclusions Guangzhou is one of the provinces with the lowest prevalence of hypertension in China and one of the high incidence areas with high prevalence in the country. The reasons for this increase are economic development, job stress, lifestyle, obesity, abnormalities of blood glucose and blood glucose Related, awareness of hypertension, treatment rate control rate higher than the national survey, but lower than the advanced country level.