2011年克山病病区高血压患病率

The prevalence of hypertension in Keshan disease endemic areas in 2011

目的了解经济落后的克山病病区居民的高血压患病水平,为偏远农村地区高血压防治提供科学依据。方法调查对象选自病区人群,对调查对象进行人口学资料调查、临床查体等检查,高血压的诊断标准参照《中国高血压防治指南》。结果调查18岁及以上的成年人共29,691人,男性12,547人,女性17,144人。检出的高血压患者7,891人,男性3,300人,女性4,591人。患病率为26.6%,其中男性为26.3%,女性为26.8%,各级高血压中60岁及以上的老年人超过50%。单纯性高血压在四类高血压中所占比例(29.2%)最高,一级高血压的患病率(28.9%)高于二级高血压(27.6%),三级高血压最低(14.4%)。结论克山病病区居民的高血压患病率已经高于全国平均水平,高血压防控政策调整及健康知识的普及需重视贫困偏远的农村地区。

Objective Investigate the prevalence of hypertension in Keshan disease endemic areas in China, providing a scientific basis for modifying the policy of hypertension prevention and control.Methods The subjects were recruited from the Keshan disease areas. They accepted demographic data research and a clinic examination. The diagnosis of hypertension was based on the Chinese guidelines for the management of hypertension. Results 7 891 people were suffered from hypertension among 29 691 people who we surveyed. The prevalence rates of hypertension were 26.6% in the endemic areas of Keshan disease, women was slightly higher than men（ 26.8% and 26.3%, respectively）. In addition, the proportion of the 60 years old was more than 50% in all the classification. The proportion of isolated systolic hypertension was the largest（ 29.2%）, the grade one hypertension（ 28.9%） was higher than the grade two hypertension（ 27.6%）, the grade three hypertension was the lowest（ 14.4%）.Conclusion The prevalence rates of hypertension in Keshan disease endemic areas has been higher than the national average.The education of health knowledge about hypertension should be strengthening on rural areas, and we should pay more attention to the policy adjustments of hypertension prevention and control for the remote rural areas.