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目的了解成都社区高血压及相关危险因素现状。方法整群分层抽样,分别抽取农村、城郊及城区社区各一个,对个体采用问诊、查体及实验室检测方式获得基线资料。结果 2008年成都市社区高血压患病率为21.78%,高血压患病率随着年龄增加而升高。高血压知晓率、治疗率、控制率分别为50.6%、37.9%、8.2%。体重指数、饮酒、血尿酸、胆固醇水平与收缩压和舒张压呈正相关。我市高血压用药仍以短效、复方制剂为主,社区联合用药方式占降压治疗的比率为34.58%,使用指南推荐联合方案的比例不足50%。结论我市社区高血压患病率增加,知晓率及治疗率提高,但控制率仍低。高血压患者常合并多种危险因素,社区在降压同时对危险因素的治疗重视不够,高血压指南推广有待加强,联合用药还需规范。
Objective To understand the status of hypertension and related risk factors in Chengdu community. Methods The cluster was stratified and sampled, one for each of rural, suburban and urban communities, and the baseline information was obtained for individuals using interrogation, physical examination and laboratory tests. Results The prevalence of hypertension in Chengdu was 21.78% in 2008, and the prevalence of hypertension increased with age. Hypertension awareness rate, treatment rate, control rates were 50.6%, 37.9%, 8.2%. Body mass index, alcohol consumption, serum uric acid, cholesterol levels were positively correlated with systolic and diastolic blood pressure. Hypertensive medication in our city is still short-acting, compound-based, community-based combination medication accounted for 34.58% of antihypertensive treatment, the use of guidelines recommend a joint program of less than 50%. Conclusion The prevalence of hypertension in our community increased, awareness rate and treatment rate increased, but the control rate is still low. Hypertensive patients often combined with a variety of risk factors in the community at the same time, the importance of the treatment of risk factors is not enough emphasis on the promotion of hypertension guidelines need to be strengthened, the need for norms of combination therapy.