北京市怀柔区高血压病流行病学调查及危险因素分析

Hypertensive disease epidemiologic survey of Huairou district and risk factor analysis

目的调查北京市怀柔区成人高血压病发病情况。方法采用分层随机整群抽样方法,对1833名20-70岁城乡常住居民进行高血压流行病学调查并检测胆固醇、甘油三酯等指标。结果怀柔区城乡居民高血压的患病标化率为33.62%,男、女分别为40.05%和29.16%。50岁之前男性患病率显著高于女性。城乡总患病率（36.20%vs.31.80%）及女性患病率（28.89%vs.35.26%）无显著性差异,但城区男性患病率高于农村男性（48.52%vs.35.26%）。不论男女,高血压患病率均随年龄增长而增加,60岁以上人群患病率﹥60%。高血压家族史、超重和肥胖、文化程度及血脂与高血压密切相关。结论怀柔区高血压患病率较高,以男性患病率高、发病早尤为明显。加强高血压防治工作十分必要。

Objective To determine the prevalence of Hypertension in Huairou district of Beijing. Methods 1833 residents in urban or rural areas aged from 20 to 70 years were chosen by stratified cluster random sampling for epidemio- logical investigation about hypertension and their serum cholesterol and triglyceride level were detected. Results The age-standardized prevalence of hypertension in Huairou district was 33.62%,and 40.05% and 29.16% for male and female respectively. Before 50 years old, prevalence rate in male was higher than in female. For the total prevalence rate and fe- male prevalence rate,there was no significant difference between urban and rural areas, but the prevalence rate of ur- ban men was higher than that of rural men. For both men and women, the hypertension prevalence rate increased with age, it was higher than 60% in people older than 60 years old. Family history of hypertension, overweight and obesity, educa- tional level and serum lipid were closely related to hypertension. Conclusions The prevalence of hypertension in Huairou District is high. In men, the prevalence rate is higher, and the onset is earlier than in women. Strengthen the prevention and treatment of high blood pressure in Huairou District is very necessary.