广州城区高血压社区防治与综合干预管理现状

A Survey on the Current Situation of Hypertension Management in Guangzhou City

目的了解广州城区高血压社区防治现状。方法于2008年8～11月整群随机抽取广州荔湾城区5条街道,调查社区常住1年以上35～75岁居民5770名,进行高血压管理现状问卷调查,并测量血压、BMI、血糖及血脂检查。结果城区人群高血压患病率为24.0%,其中Ⅱ～Ⅲ级高血压占51.1%,高危～极高危分层占68.1%;71.1%的患者家庭无自测血压措施,仅5.2%的患者24h动态测血压,开展靶器官受损早期筛查的人数不足37.4%,48.4%用药不规范。抗脂和抗血小板治疗分别为11.6%和7.8%,采取有氧运动、低盐和戒烟三项非药物治疗措施者分别为91.2%、74.6%和36.3%。结论广州城区高血压防治现状不容乐观,应引起重视。

Objective To investigate the prevention and control of hypertension in Guangzhou city. Methods During the August to the November in 2008, five communities were selected from Liwang in Guangzhou city by cluster random sampling, where 5770 habitants aged 35 - 75 were included. A survey with questionnaire about the current situation of hypertension management and a series of biochemical detections, such as blood pressure, body mass index（BMI）, blood sugar and blood lipid, were conducted among them. Results The prevalence rate of hypertension was 24.0% in the studied population. Among the patients of hypertension, 51.1% was grade lI or m, 68.1% was at high-risk or super high-risk level. 71.1% of them did not measure blood pressure at home;Only 5.2% of them did dynamic measurement. Less than 37.4% of the patients had the early screening on target organ damage, 48.4% of them did not take medicine professionally;Anti-fat and antiplatelet therapy were 11.6% and 7.8% respectively. For the non-drug therapies,the rate of taking aerobic exercise, low salt diet and smoking cessation were 91.2%, 74.6% and 36.3% respectively. Conclusion The current situation for the prevention and control of hypertension was not satisfactory; we should pay more attention and effort on that.