发挥健康体检在功能社区高血压防治中的作用

Effectiveness of health check-up on hypertensive prevention and control in communities

目的了解功能社区职业人群的高血压患病情况及高血压防治的可利用资源。方法2007年5—9月间在北京城区针对功能社区职业人群进行了“健康膳食、健康血压促进行动”为主题的高血压防治现场调查。对北京城市社区73家机关和企事业单位18—65岁职业人群29224名进行高血压防治调查，其中男性15930名，女性13294名；平均年龄40岁。结果北京城市功能社区职业劳动力人群高血压患病率为28．73％；其中男性患病率为34．43％，女性为21．91％。问卷调查显示81．39％的职业人群有至少2年1次的定期健康体检（其中62．56％的人至少每年1次）。无论是知道自己血压水平情况、高血压知晓率和达标率，定期健康体检人群均明显高于非定期健康体检人群，但高血压诊断标准的掌握在二组人群间差异没有统计学意义（P〉0．05）。定期健康体检人群高血压知晓率仅为16．68％，而实际高血压患病率为28．32％，高血压达标率也仅为25．06％。结论定期健康体检在高血压的检出和控制中发挥了一定的作用，但成效有限。提示应发挥定期健康体检的有利资源，开展功能社区高血压疾病管理，以维护职工的心血管健康。

Objective To investigate the prevalence of hypertension of working population in social communities and available resources for hypertensive prevention and control. Methods Promotion Action for Health Food and Blood Pressure was conducted in Beijing from May 2007 to September 2007 to evaluate the prevention and control of hypertension among 29 224 individuals （15 930 males and 13 294 females, aged 18 to 65 years） from selected China state organs,and enterprises and institutions. Results The prevalence of hypertension of working population in functional communities was 28. 73% （34. 43% for males and 21.91% for females）. Data showed that 81.39% of the objects took health cheek-up at least once per 2 years, and 62.56% took health check-up at least once per year. In awareness rate or rate of blood pressure control up to the standard, regular health check-up receivers were better than irregular health check-up receivers, although no significant difference was found in knowledge awareness of hypertension diagnosis. For regular health check-up receivers, the awareness rate of hypertension was 16. 68%, the prevalence of hypertension was 28.32% , and the rate of blood pressure control up to the standard was as low as 25.06%. Conclusions The regular health examination exerts positive influence on awareness and control of hypertension. Using available resources ,hypertensive management in functional communities should be intensified.