江西省抚州市离退休老年人高血压调查(附9737例报告)

Survey of hypertension in retired elderly people of Fuzhou in Jiangxi province(with 9737 cases)

目的:收集我市离退休老年人高血压及其并发代谢异常、心电图异常、肾功能损害等流行病学资料,为老年高血压的防治提供依据。方法:对2010年我市9 737例离退休老年人的综合体检资料进行分析。结果:45.67%(4 447/9 737)的离退休老年人患高血压,男性患病率为50.44%(2 618/5 190),高于女性的40.22%(1 829/4 547);1、2级高血压占94.02%(4 181/4 447)。高血压患者心电图异常率高于正常血压者,以ST-T改变为首;高血压患者空腹血糖受损率为10.32%(459/4 447),糖尿病患病率为10.95%(487/4 447),均较正常血压者高,且随血压级别增加而增加;高血压患者肾功能损害率6.81%(303/4 447),也随血压级别增加而增加,其中男性9.47%(248/2 618)高于女性的3.01%(55/1 829);高血压患者血脂异常患病率为39.15%(1 741/4 447),同样随血压级别增加而增加,其中女性55.28%(1 011/1 829),高于男性的27.88%(730/2 618),且以单纯TG增高为主。高血压患者并发代谢异常时,以高血压并发糖尿病同时并发混合性血脂异常的血糖均值最高。结论:抚州市离退休老年人高血压及高血压并发代谢异常率高,定期体检发现高血压有利于早期积极干预。

Objective：We achieved epidemiological informations about the metabolic and electrocardiographic abnormalities of elderly people with hypertension in Fuzhou city,in order to provide the basis of prevention and treatment of hypertension in elderly people.Method：We analyzed the comprehensive medical data from 9 737 retired people in 2010.Result：45.67% of the retired people suffered from hypertension,and among them 94.02% were in grade 1 and grade 2.The incidence was higher in men with 50.44% than 40.22% in women.Compared to people with normal blood pressure,the rate of electrocardiographic abnormality was higher in hypertensive ones,which performed as myocardial ischemia at most.And the incidences of impaired fasting glucose with 10.32% and diabetes with 10.95% were also higher in hypertensive ones than those in people with normal blood pressure,and increased with pressure levels.In hypertensive patients,the rate of renal impairment was 6.81%,and 9.47% in men while 3.01% in women.Besides,the occurence of dyslipidemia was 39.15%,which maily increased by triglyceride and developed higher with blood pressure levels,and the incidence was higher in women compared to men.The mean value of blood glucose was in the highest level when hypertensive patients developed diabetes and mixed dyslipidemia. Conclusion：The morbidity of hypertension and the concurrent metabolic abnorm-ality is in a high level in Fuzhou city,and it is of significant necessary for all the retired people to receive periodic physical examinations in order to receive early interventions.