南昌市青山湖区≥40岁人群高血压现状调查

Status quo of hypertension in population aged 40 and over in the Qingshanhu district of Nanchang city

目的了解南昌市青山湖区≥40岁人群高血压患病情况和治疗现状。方法于2011-06-09-08-04,按照统一的调查表格,由经过培训的专业医务人员对南昌市5大社区(和睦、安平、乐家、家园、祥和)≥40岁的居民4923人[男女比例1.00∶1.13,年龄(52.3±9.6)岁]进行问卷调查及现场体检。结果南昌市青山湖区≥40岁人群高血压标化患病率、知晓率、治疗率、控制率分别为22.9%、65.8%、49.5%、5.5%。在新诊断的高血压患者中,1级高血压和单纯收缩期高血压患者分别占26.6%、64.8%。钙拮抗剂(61.3%)和血管紧张素转换酶抑制剂(15.0%)为最常用的两类降压药物,单药治疗的患者高于联合降压治疗(58.9%比31.9%,P<0.05)。在血压控制达标的高血压患者中,服用单药降压的占22.6%,联合用药的占60.2%。结论南昌市青山湖区≥40岁人群高血压的标化患病率为22.9%,单药治疗率为58.9%,而治疗率和控制率均较低;联合降压治疗能提高血压达标率。

Objective To investigate the status quo of the prevalence and treatment of hypertension among a popula- tion aged 40 and over in Qingshanhu district of Nanchang city. Methods From June 9 to August 4, 201I, the data of 4923 residents aged 40 years or older [average age： （52.3±9.6）, male-to-female ratio： 1.00 ±1.13], from five communities： Hemu, Anping, Lejia, Jiayuan and Xianghe communities, were collected by trained medical profes- sionals with standard questionnaires and in-spot health examination. Results The standard prevalence, awareness, treatment and control rates among the hypertensive residents aged 40 and over in Qingshanhu district of Nanchang city were 22.9%, 65.8%, 49. 5% and 5.5%, respectively. Among the newly diagnosed hypertensive patients, those with grade 1 hypertension and those with isolated systolic hypertension accounted for 26.6% and 64.8%, re- spectively. The most commonly used anti-hypertensive drugs were calcium antagonists /61.3% and angiotensin- converting enzyme inhibitors （15 0% ） Mono-therapy was more commonly adopted in the patients than combina- tion therapy （58.9% vs 31.9%, P〈0.05）. Among the patients who successfully reached the blood pressure con- trol standards, 22.6% of them received mono-therapy, and 60.2% took combination therapy. Conclusions The standardized prevalence rate of hypertension 122.9%1 and mono-therapy proportion （58.9 % of the residents aged 40 and over in Qingshanhu district of Nanchang city are relatively high, while the treatment and control rates of hy-pertension are comparatively low. Combination therapy can improve the control rate of blood pressure.