拉萨市城镇30至70岁藏族居民高血压患病率调查分析

Prevalence of hypertension among 30 to 70 years old citizens of Lhasa, Tibet China

目的 了解拉萨市城镇30至70岁藏族男性和女性人群的高血压患病分布情况.方法 2006年10月至11月,应用横断面的方法单纯随机抽样,调查了371名30至70岁藏族男性和女性.对入选居民进行标准化的问卷调查,并测量血压及体质指数、腰臀之比等体格指标.结果 拉萨市城镇居民30至70岁人群的高血压总患病率为40.2%,男性和女性高血压患病率的差异无统计学意义（男性为36.6%,女性为40.9%,P=0.921）.高血压的患病率随年龄的增长而增高（r=0.995,P＜0.001）.30至69岁人群年龄结构与世界人口年龄进行标化后,高血压的患病率为37.6%（男性为38.0%,女性为37.5%）.高血压知晓率为70.9%,高血压治疗率为38.1%,高血压控制率为2.4%.结论 拉萨市城镇30至70岁藏族居民高血压患病率高、控制率低,应采取有效防治措施降低高血压的发生率.

Objective To investigate the prevalence rate of hypertension among 30 to 70 years old Tibetan citizens in Lhasa municipality. Methods A total of 371 Tibetan men and women aged between 30 to 70 years old were included in this cross-sectional epidemiological study with simple random sampling from October to November 2006. All participants were requested to fill in a Standard questionnaire, blood pressure was measured, body mass index and waist and hip circumference ratio were calculated. Results The overall prevalence rate of hypertension was 40. 2%（36. 6% in men vs. 40. 9% in women, P=0.921）. Prevalence rate of hypertension increased with age（r = 0. 995, P 〈 0. 001）. The age-standardized prevalence of hypertension was 37.6%（38. 0% in men and 37. 5% in women）. Awareness rate of hypertension was 70. 9%, treatment rate of hypertension was 38. 1%, and control rate of hypertension was 2.4%. Conclusions There was a high prevalence rate and poor control rate of hypertension among 30 to 70 years old citizens of Lhasa. Intensive medical care aimed to better control of blood pressure should be applied to this population.