1377例社区老年人群高血压现况调查

Investigation on the current status of the community elderly hypertension in 1377 cases

目的:了解顺德容桂地区老年人群高血压的现况。方法:对顺德区容桂街道整群随机抽样,随机抽取2个社区,对60岁以上的常住人口全部进行调查,总人数1503人,被调查且资料完整的1377人。调查的项目有年龄、性别、血压、身高、体重、腰围(WC)、臀围(HC)、空腹血糖(FPG)、总胆固醇(TC)、甘油三酯(TG)、既往史,并计算出体重指数(BMI)、腰臀围比(WHR)和腰围身高比(WHtR)。结果:(1)高血压总现患率为72.84%,男性现患率为73.37%,女性现患率为72.47%;60～69岁组现患率为66.82%,70～79岁组现患率为80.62%,80岁以上组现患率为92.78%。男女之间差异不明显(P>0.05),不同年龄组间差异明显(P<0.01)。(2)与非高血压者相比,高血压者年龄、FPG,TG,BMI,WC,WHR,WHtR更高,差别有统计学意义(P<0.05)。(3)相关性分析发现,高血压与年龄、TG,BMI,WC,WHR明显相关(P<0.01),与WHtR及TC无相关(P>0.05)。结论:高血压病年龄越大现患率越高。高血压与血糖、血脂、肥胖相关,在关注血压的同时也要关注相伴情况,这样才能真正做到降低总体的心血管风险。

Objective To investigate prevalence of hypertension among residents aged≥60 years in rong-gui district.Methods：1377 ones of total 1503 residents aged≥60 years in the two communities which were randomly were investigated.Investigative items included age,sex,blood pressure,body height,body weight,waist circumference（WC）,hip circumference（HC）,fasting plasma glucose（FG）,total cholesterol（TC）,triglyceride（TG）,history of past illness,body mass index（BMI）,waist hip ratio（WHR） and waist height ratio（WHtR）.Results：（1）The total prevalence rate of hypertension was 72.84%,male prevalence rate was 73.37%,female prevalence rate was 72.47%.The 60-69 age group the prevalence rate was 66.82%,the age group of 70-79 prevalence rate was 80.62%,above 80 years old group prevalence rate was 92.78%.Between men and women were not significantly different（P＆gt;0.05）,different age group differences were apparent（P＆lt;0.01）.（2）Compared with non hypertension,hypertension were age,FPG,TG,BMI,WC,WHR,WHtR higher,the difference was statistically significant（P＆lt;0.05）.（3）The correlation analysis,hypertension and age,TG,BMI,WC,WHR significantly（P＆lt;0.01）,and WHtR and TC no correlation（P＆gt;0.05）.Conclusion：Hypertension older prevalence rate is high.Hypertension and blood sugar,blood lipid,obesity,blood pressure in the attention we should also pay attention to together,so as to truly reduce the total cardiovascular risk.