杭州市2007～2009年社区人群高血压流行特征分析

Analysis of Prevalence Characters of Hypertension among Community Crowds from the year 2007 to 2009 in Hangzhou

目的:了解杭州市居民现阶段高血压流行状况,为制定心血管病防治的相关策略和措施提供科学依据。方法:采用以社区为基础的整群随机抽样调查方法,采取社区集中调查和入户调查相结合的方式对研究对象进行高血压流行病学调查,获得20岁及以上人群的相关资料,经整理后输入全国社区高血压综合干预信息化管理计算机gxyU1000.net网络系统实施管理并进行统计分析。结果:共调查20岁及以上居民42998人,测得高血压患者11820人,高血压患病率为27.49%,男女性患病率分别为27.53%和27.45%,高血压患病率随年龄增长而上升,Ⅰ级、Ⅱ级和Ⅲ级高血压患者分别占70.45%、23.81%和5.74%,其中新发现的高血压人数占高血压总病例数的10.69%。高血压高危人群占调查人数的22.78%,男性高于女性。结论:杭州市居民高血压流行现状和防治任务形势严峻,高血压高危人群应列入重点干预对象,加大社区高血压综合防治力度。

Objective To investigate the present prevalence status of hypertension in urban communities in Hangzhou and to provide the scientific basis for formulating the related strategy and the measures.Methods The Community-based random cluster survey was used.By using focused investigation on or taking residence investigation to the studied object,the people＇s correlated information who were older than 20 years was gotten,then these data were input into Zhejiang Province Information Management Network System（gxyU1000.net） based on Communitybased comprehensive intervention of hypertension,and statistical analysis was carried on.Results Altogether 42998 people who were older than 20 years were investigated,and 11820 people were suffered from hypertension.Prevalence rate of hypertension was 27.49%（the male and the female was 27.53% and 27.45%,respectively）.Prevalence rate of hypertension increased with age.The 1st-grade,2nd-grade and the third-grade hypertension patient accounted for 70.45%,23.81% and 5.74%,respectively.Among them,the newly found hypertensive patients accounted for 10.69%.The high-risk group of hypertension accounted for 22.78% in the investigated people,the male was more than the female.The average blood pressure was obviously higher in high-risk group of hypertension patients than in the entire crowd＇s blood pressure.Conclusions The present status of hypertension prevalence and prevention-control in Hangzhou is serious.The high-risk group of hypertension should be listed as the key intervention object.Comprehensive prevention and control of hypertension should be futher strengthened.