广州市25岁以上居民高血压患病情况调查

Investigation on the Prevalence Rate of Hypertension and ;Risk Factors in Guang Zhou

目的调查广州市高血压发病情况及影响因素。方法 按统一方法抽样调查广州市荔湾区 2 5岁以上居民10 0 2 1人 ,了解血压血脂、血糖及体重指数等情况。结果 高血压患病粗率 2 5 .87%,标化患病率 2 0 .34 %,随着增龄高血压患病率增加 ,45岁以上人群增加幅度很大 ,单纯收缩期高血压患病率 16 .6 4%,6 5岁以上老年人单纯收缩期高血压患病率明显增加、血脂异常率、超重肥胖发生率及血糖异常率 ,高血压组明显高于正常血压组。高血压知晓率6 2 .19%,治疗率 37.40 %,控制率 2 4.0 0 %。结论 广州地区从全国高血压患病率最低的省份之一 ,上升为全国高血压病率高发区之一 ,患病率增加的原因与经济发展 ,工作紧张程度 ,生活方式 ,肥胖血脂血糖代谢异常有关 ,高血压知晓率、治疗率控制率高于全国调查水平 ,但低于先进国家水平。

Objective To study the prevalence rate of hypertension and the risk factors of hypertension in Li Wan district in Guang zhou. Methods A total of 10021 person (3579 males and 6442 females) aged over 25 were surveyed by a standardized protocol. Blood pressure, blood lipid, glucose and BMI etc were examined. Results the cruds prevalence rate of hypertension was 25.87%, and the age|adjusted rate was 20.34% the prevalence rate increased progressively with aging.Especially over 45 years old The crude prevalence rate of isolated systolic hypertension (ISH) was 16.64% and the age-adjusted rate was 11.64%, the prevalence rate of ISH increased progressively with aging, especially over 55 years old. It is found that the prevalence rate of hyperlipidemia, overweight and obesity, diabetes in hypertension were much, higher than that in normotensives(%P%<0.01) Awere rate of established hypertension is 62.19%; patients with treatment rate of established hypertension is 37.46% control rate is 24.00%. Conclusion Prevalence rate of hypertension in Guang Zhou district increased considerably in the past few years. The causes of high prevalence of hypertension in Guang zhou may be ascribed to development of the economy, intense work, changes in life style, diabetes, obesity and disorder of blood lipid.