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目的:描述大连市2004年申请企业慢性病医疗保险补助人员高血压及并发症的流行病学特征,为制定慢性病防控及医疗保险补助政策提供依据。方法:在大连市2004年申请企业慢性病医疗保险补助的检诊合格人群中,通过整群随机抽样的方法抽取6736例高血压患者作为研究对象,将其检查结果录入数据库。采用SPSS11.5统计软件进行分析。结果:高血压并发冠心病的最多,占80.6%,并发冠心病和视网膜病变有随年龄增高而增加的趋势,而肾病在低年龄组人群中占的比例较高;女性并发冠心病、视网膜病变的比例较男性高,分别是83.9%和79.4%。而男性并发脑卒中的比例较女性高,为45.5%。结论:高年龄段的高血压患者应以预防和控制冠心病和视网膜病变为主,低年龄段应以预防和控制肾病为主。男性重点预防和控制脑卒中。
OBJECTIVE: To describe the epidemiological characteristics of hypertension and complications of the subsidies for chronic medical insurance provided by Dalian in 2004, and provide the basis for the formulation of the policy of prevention and control of chronic diseases and medical insurance subsidy. Methods: A total of 6,736 hypertensive patients were enrolled in random sample of Dalian City in 2004 as eligible subjects for medical insurance for chronic diseases, and their results were entered into the database. Using SPSS11.5 statistical software for analysis. Results: The incidence of hypertension complicated by coronary heart disease was the highest (80.6%). The incidence of coronary heart disease and retinopathy were increased with age, while the incidence of kidney disease was higher in low age group. The incidence of coronary heart disease and retinopathy Higher than men, 83.9% and 79.4% respectively. The proportion of men with concurrent stroke was higher than that of women with 45.5%. CONCLUSION: Coronary heart disease and retinopathy should be the main prevention and control of hypertensive patients in high age group, and the prevention and control of nephropathy should be mainly in lower age group. Men focus on prevention and control of stroke.