吉林省永吉县部分农村地区高血压患病率队列研究

A cohort study of hypertension prevalence in Yongji county,Jilin

目的分析和探讨吉林省部分农村人口高血压患病率、患病趋势及其主要危险因素,为该省的高血压防治工作提供科学数据。方法采取分层整群抽样和队列研究方法,2000年和2007年对吉林市永吉县部分农村45~74岁的常住居民721人进行测量血压问卷调查,对结果进行统计分析。结果 7年中高血压患病率明显升高（2000年37.17%,2007年52.47%,P〈0.01）;尤以中重度高血压患病率升高为著（2000年15.81%,2007年24.86%,P〈0.01）;高血压患病率随年龄增长而呈现上升趋势。结论吉林农村人口高血压患病率高于我国其他地区高血压患病率,并且呈现上升趋势,因此积极向农民普及高血压知识及加强健康教育,并应采取多种有效措施来加强高血压病一级预防及二级预防降低高血压的患病率及并发症是吉林省高血压防治工作当务之急。

Objective To investigate the prevalence,development trends and major risk factors of hypertension in rural residents of Jilin province.Methods A stratified cluster sampling method was used for a cohort study,which included 721 rural residents of Yongji county,Jilin province.The participants were aged 45-74 years and observed for blood pressure between 2000 and 2007.Results The prevalence rate of hypertension was significantly increased in the observed population from 2000（37.17%） to 2007（52.47%）（P0.01）,especially that of moderate and severe hypertension（2000：15.81% vs 2007：24.86 %,P0.01）.The prevalence of hypertension increased with age and had an upward trend during the period.Conclusion The prevalence of hypertension was a serious challenge of public health in the rural population of Jilin province.The increasing trend of the disease prevalence suggested the importance of health knowledge education and comprehensive measures of intervention strategies.