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目的:了解杭州市居民现阶段高血压流行状况,为制定心血管病防治的相关策略和措施提供科学依据。方法:采用以社区为基础的整群随机抽样调查方法,采取社区集中调查和入户调查相结合的方式对研究对象进行高血压流行病学调查,获得20岁及以上人群的相关资料,经整理后输入全国社区高血压综合干预信息化管理计算机gxyU1000.net网络系统实施管理并进行统计分析。结果:共调查20岁及以上居民42998人,测得高血压患者11820人,高血压患病率为27.49%,男女性患病率分别为27.53%和27.45%,高血压患病率随年龄增长而上升,Ⅰ级、Ⅱ级和Ⅲ级高血压患者分别占70.45%、23.81%和5.74%,其中新发现的高血压人数占高血压总病例数的10.69%。高血压高危人群占调查人数的22.78%,男性高于女性。结论:杭州市居民高血压流行现状和防治任务形势严峻,高血压高危人群应列入重点干预对象,加大社区高血压综合防治力度。
Objective: To understand the current prevalence of hypertension in Hangzhou residents and provide scientific evidence for the development of strategies and measures for prevention and treatment of cardiovascular diseases. Methods: A community-based cluster randomized sampling method was used to investigate the prevalence of hypertension in the study population by using a combination of community-based surveys and household surveys. The relevant data were obtained from 20-year-old and above population. After entering the national community hypertension intervention information management computer gxyU1000.net network system implementation management and statistical analysis. Results: A total of 42998 residents aged 20 years and over were surveyed. The number of hypertension patients was 11820, the prevalence of hypertension was 27.49%, the prevalence rates of male and female were 27.53% and 27.45% respectively. The prevalence of hypertension increased with age However, grade I, grade II and grade III hypertension accounted for 70.45%, 23.81% and 5.74% respectively, of which 10.69% were new cases of hypertension. High-risk groups of hypertension accounted for 22.78% of the survey population, men than women. Conclusion: The status quo and prevention and treatment of hypertension in Hangzhou residents are in a serious situation. People at high risk of high blood pressure should be included in the key intervention targets and the integrated prevention and control of community hypertension should be strengthened.