广州市15～69岁常住居民高血压患病率、知晓率、治疗率及控制率调查

Prevalence, Awareness, Treatment and Control of Hypertension in 15-69 Years Old Residents in Guangzhou

目的了解广州市15～69岁常住居民的高血压患病率、知晓率、治疗率和控制率情况,为高血压的综合防治工作提供依据。方法采用多阶段抽样的方法,抽取7026名广州市常住居民进行问卷调查和血压测量。结果高血压患病率为15.1%,标化率为18.0%,知晓率为31.6%,药物治疗率为28.8%(包括只按医嘱服药者16.9%和综合治疗者11.9%),非药物治疗率为1.2%,高血压控制率为12.6%。结论广州市成人高血压患病率近年有增加的趋势,而知晓率、治疗率及控制率偏低,尤其是在农村地区,需要进一步加强高血压知识的宣传教育,提倡综合治疗及社区的系统管理工作,做到早诊断、早治疗、早控制。

Objective To discriminate the prevalence, awareness, treatment and control of hypertension among residents aged 15-69 years old in Guangzhou city. Methods Multistage sampling was used to select 7 026 usual residents aged 15 to 69 in 2008 to take questionnaire and blood pressure test. Results The prevalence of hypertension was 15.1%. Among hypertensive patients, 31.6% were aware of their high blood pressure, 28.8% were taking antihypertensive medication （16.9% just only taking medicinesand 11.9% using combined therapy）, 1.2% were taking non-medication and 12.6% achieved their blood pressure under control （140/90 mm Hg）. Conclusion The prevalence of hypertension increased significantly recently, but there were lower awareness and much lower percentages of treatment and control of hypertension, especially in rural residents. It is very important to strengthen the health education, promote the combined treatment and community system management for early diagnosis, early treatment and early control.