河南省年龄35~75岁成人高血压患病率、知晓率、治疗率和控制率的现状

Prevalence,awareness,treatment,and control rate of hypertension in adults aged 35-75 years in Henan Province

目的了解河南省年龄35~75岁成年居民高血压的患病、知晓、治疗和控制情况,以及降压药物的使用情况。方法采用方便抽样的方法,于2015-2018年抽取河南省8个项目点35~75岁成年居民进行问卷调查和体格检查。结果共调查居民119585人,年龄(55.5±9.7)岁,女性占61.0%。高血压患病率为43.1%,高血压患者的知晓率、治疗率和控制率分别为44.1%、33.2%和11.2%。在所有患者服用的降压药中,钙通道阻滞剂的构成比最大(35.2%)。高龄、文化程度高、城市或既往发生过糖尿病、心肌梗死、脑卒中的高血压患者其知晓、治疗和控制率较高,而男性、农民及饮酒的患者其知晓、治疗和控制率较低(P<0.05)。结论河南省成年居民高血压患病率高,知晓率、治疗率和控制率均较低。高血压防治管理体系仍需完善。

Objective To investigate the prevalence,awareness,treatment,and control rate of hypertension,as well as the use of antihypertensive drugs in residents aged 35-75 years in Henan province.Methods Using convenient sampling,questionnaire survey and physical examination were conducted among adult residents aged 35-75 years in eight cities/prefectures from 2015 to 2018.Results A total of 119585 residents in Henan Province,aged(55.5±9.7)years,were investigated,of whom 61.0%were females.The prevalence,awareness,treatment,and control rate of hypertension were 43.1%,44.1%,33.2%and 11.2%respectively.Among the antihypertensive drugs taken by all patients,calcium channel blockers accounted for the largest proportion(35.2%).The awareness,treatment and control rate of hypertension were higher in patients with advanced age,high education level,urban or past illness such as diabetes,myocardial infarction and stroke.But these indices were lower in male,farmer and alcohol drinking subjects.Conclusions The prevalence of hypertension is high but the awareness,treatment,and control rate are low among adult residents in Henan province.Further efforts are needed to enhance the system of hypertension prevention and control management system.