2020年德昌县30~69岁城乡居民高血压患病风险因素筛查分析

Analysis About Screening of Risk Factors for Hypertension in Aged30~69 Urban and Rural Residents in Dechang County 2020

目的对城乡居民高血压风险因素进行筛查分析,掌握当地高血压患病风险因素情况和具备高风险的人群分布情况,为当地制定针对风险因素开展综合干预的策略和措施提供依据。方法采用多阶段分层随机抽样的方法于2020-06抽取德昌县3069岁城乡居民,采用问卷调查和现场体检的方法收集居民身体状况和风险因素数据,采用描述性统计方法分析风险因素分布,采用SPSS 17.0软件进行、t检验和方法分析检验均值的统计学差异,检验水准为α=0.05。结果共计完成德昌县403名居民的调查,德昌县城乡居民中血压高值检出率为43.42%;城乡居民超重率为34.99%,肥胖率为11.41%,腹型肥胖率44.17%,具有1种以上高血压症状者占54.84%,日食盐量超过6 g者所占比例为81.89%;城乡居民高血压风险因素得分均值为3.92分;城乡居民高血压高危人群检出率为57.07%,高危人群检出率城乡差别和年龄差异有统计学意义。结论德昌县3069岁常住居民中高血压高危人群比例高于国内其他地区水平,基层医疗机构有必要广泛筛查高血压高危人群,并针对高危因素开展综合干预,将追踪诊断的高血压患者纳入健康管理。

Objective To screen and analyze the risk factors of hypertension in urban and rural residents,so that to understand the local hypertension risk factors and the distribution of high-risk populations, and to provide a basis for the local development of comprehensive intervention strategies and measures for risk factors. Methods Multi-stage stratified random sampling method was conducted for urban and rural residents aged 30-69 in Dechang county in June 2020,questionnaire surveys and on-site physical examinations were used to collect data on the physical condition andrisk factors of residents, descriptive statistical methods were used to analyze the distribution of risk factors. Chi-square test, t-test and wereby SPSS 17.0 software. The test level was α =0.05. Results Total of 403 residents in Dechang county were surveyed. The detection rate of high blood pressure of the surveyed residents in Dechang county was 43.42%, the overweight rate of the surveyed residents was 34.99%, the obesity rate was 11.41%, the abdominal obesity rate was 44.17%, among the surveyed residents54.84% had more than one type of hypertension symptoms, and the daily salt content over 6 g of surveyed residents was 81.89%, the average score of risk factors for hypertension of the surveyed residents was 3.92, the detection rate of the residents at high risk of hypertension was 57.07%,and the detection rate of high-risk groups between urban and rural areas and age differences were statistically significant. Conclusion The proportion of high-risk hypertension among the aged 30-69 permanent residents of Liangshan prefecture is higher than that of other regions in China. It is necessary for primary medical institutions to extensively screen high-risk hypertensives, and comprehensive interventions should be carried out for high-risk factors, and patients with hypertension diagnosed should be included as follow-up health management.