湖北省十堰市社区居民首诊血压检测结果分析

Analysis on the results of the blood pressure measure at the first visit among community residents in Shiyan,Hubei Province

目的了解湖北省十堰市城镇社区居民首诊血压情况，分析异常血压分布情况及可能影响原因，为制定相关干预措施提供科学依据。方法依据某卫生服务站接诊患者首诊测定的血压结果，按照性别、年龄对血压异常情况进行分析。结果共调查5333人，所调查人群血压异常率为23．01％，男性血压异常率为29．85％，女性为16．18％，男女比例为1．84：1（P〈0．01）。18—30岁年龄段男性收缩压舒张压均异常、单纯收缩压异常及单纯舒张压异常发生率远高于其他年龄段，分别为19．56％、19．56％和21．74％；收缩压舒张压均异常及单纯舒张压异常随年龄增长呈现递减趋势，而单纯收缩压异常则随年龄增长而呈现递增趋势；女性收缩压舒张压均异常和单纯收缩压异常或单纯舒张压异常则随其年龄的增长呈现递增态势，男女比较（P〈0．05）。结论调查的城镇社区居民高血压异常率超过就诊人数的1／4。预防控制高血压应以社区医疗机构为基础，采取多种形式和载体，大力宣传普及高血压防治相关知识，提高社区居民高血压自我防控技能。

Objective To investigate the present blood pressure status of community residents at the first physician visit in cities and towns in Shiyan, Hubei Province, and to analyze the distribution of abnormal blood pressure and its possible causes, with a view of providing scientific evidence for developing relevant intervention measures. Methods Among the blood pressure test results at the first physician visit at a medical service station, the abnormal blood pressure test results were analyzed for different gender and age groups. Results Among the 5333 sampled residents, the overall percentage of abnormal blood pressure was 23.01% , 29. 85% for males and 16. 18% for females, and the male-female ratio was 1.84 ： 1 （P 〈0. 01 ）. Among males aged from 18 to 30, the incidence of both SBP and DBP abnormity （ 19. 56% ）, that of mere SBP abnormity （ 19. 56% ） , and that of mere DBP abnormity （21.74%） were all much higher than other age groups. Among males, both SBP and DBP abnormity and mere DBP abnormity decreased with age, and mere SBP abnormity increased with age. Compared with males, both SBP and DBP abnormity and mere SBP abnormity or mere DBP abnormity tended to increase with age among females （ P 〈 0. 05 ）. Conclusion Cases of abnormal high blood pressure claimed over one quarter of the residents surveyed at the community medical service station. The prevention and control of high blood pressure should be based at community medical organizations and employ different forms and media should be chosen to effectively publicize and popularize the relevant knowledge of high blood pressure prevention and treatment, so as to improve the community residents＇ skills to prevent and control high blood pressure.