苏州市区老住宅小区居民高血压患病率特点分析

Characteristics of Hypertension Prevalence in Old Urban Residential Community in Suzhou

目的了解苏州市区老住宅小区居民高血压的患病率特点。方法采用二阶段整群抽样的方法在苏州市区1994年前建造的老住宅小区里随机抽样,对20周岁以上居民进行高血压的流行病学调查。结果高血压的现患率男性是54.50%,女性43.65%,合计48.73%。以江苏省苏州市2000年人口普查资料的年龄构成标化后男性患病率是20.95%,女性患病率是16.30%,合计18.16%;Ⅰ级高血压、Ⅱ级高血压、Ⅲ级高血压患病率分别是27.00%、12.87%、8.86%,标化率12.46%、3.78%、1.93%;单纯收缩期高血压(ISH)、单纯舒张期高血压(IDH)、合并收缩期和舒张期高血压(SDH)患病率分别是15.40%、4.64%、28.69%,标化率4.27%、3.62%、10.28%;不同教育程度、经济收入、职业高血压患病率差异有统计学意义;高血压组血脂(TC、TG)、血糖(FBG)异常率高于正常血压组。结论苏州市区老住宅小区居民高血压的患病率高,SDH、ISH是患病的主要类型,加强二级预防工作迫在眉睫。

Objective To investigate the characteristics of hypertension prevalence in old urban residential community in Suzhou. Methods A cluster sampling cross sectional survey was carried out on residents over 20 years old in old urban residential community in Suzhou. Results The crude prevalence rate of hypertension was 54.50% in male, 43.65% in female, and 48.73% in total. The standardized incidence was 20.95% , 16.30%, 18.16% respectively. Stage 1 hypertension was much more prevalent than stage 2 hypertension and stage 3 hypertension. Overall, 15.40% of the residents had ISH, 28.69% had SDH, and 4.64% had IDH. The prevalence of hypertension was relevant to education, income, and occupation. The higher abnormal rate of lipid （TC, TG）, glucose （FBG） in hypertension group than normal blood pressure group. Conclusion These data document high prevalence of hypertension in old urban residential community in Suzhou. SDH and ISH were the majority subtype of hypertension. The hypertension screening and secondary prevention should be strengthened in old urban residential community.