宁夏回族自治区银川市高血压病流行病学调查

Epidemiological survey of hypertension among people in Yinchuan,Ningxia province

目的了解银川市18岁以上人群高血压病的流行病学特点,分析高血压患病的影响因素,制定高血压病社区规范化治疗及干预模式。方法采用分层整群抽样对银川市5 439人进行血压测量和资料收集。结果宁夏银川市高血压患病率为22.7%,标化率为23.1%;男性患病率25.8%高于女性(19.5%)(P<0.01),城市25.0%高于农村(19.5%)(P<0.01),汉族24.4%高于回族(19.4%)(P<0.01)。随着年龄的增加,高血压患病率增加明显。经非条件logistic逐步回归分析显示,高盐饮食、年龄、BMI≥24 kg/m2、腹型肥胖、家族史是高血压的危险因素。结论宁夏银川市回族高血压发病率低于汉族,可能与其特殊生活方式和基因有关。

Objective To study the prevalence and risk factors of hypertension among people in Yinchuan. Methods A total of 5 439 residents,aged of 18 and over,were randomly sampled by means of cluster sampling. Results Prevalence and standardized prevalence of hypertension in Yinchuan were 22.7% and 23.1%,respectively,with significantly higher prevalence rate in male than in female（25.8% vs 19.5%,P0.01） and higher in urban than in rural（25.0% vs 19.5%,P0.01）.Meanwhile,significantly higher prevalence was observed in Han people thant that in Hui people（24.4% vs 19.4%,P0.01）.The prevalence rose significantly with increased age.High-salt diet,age,BMI≥24 kg/m2,obesity,family history were found to be risk factors of hypertension by multivariable logistic regression. Conclusion Low prevalence of hypertension is observed in Hui people in Yinchuan,which may ascribed to specific life style and genetic factors.