重庆市社区老年人高血压现况调查

Prevalence survey of hypertension among community elderly people in Chongqing.

目的 :探讨重庆市社区老年人高血压患病情况及相关危险因素。方法 :采用随机整群抽样 ,抽取重庆市社区60岁以上共4915人进行调查。结果 :重庆市社区老年人高血压患病率为63 83 % ,且患病率随年龄增长而升高 ,尤以Ⅱ～Ⅲ级高血压患病率升高显著。女性患病率尤其是Ⅱ～Ⅲ级高血压的患病率显著高于男性 (P<0 01)。吸烟、饮酒、体重指数 (BMI)≥24和高血压家族史阳性对高血压的发生有显著影响 (P<0 01)。急性脑血管疾病、心血管疾病及糖尿病与高血压特别是Ⅱ～Ⅲ级高血压的发生有明显相关 (P<0 01)。结论 :重庆市社区老年人高血压患病率为63 83 % ,年龄、性别、吸烟。

Objective:To survery the prevalence of hypertension among the community elderly residents in Chongqing.Methods:A total4915urban residents,aged60and over,randomly sampled by means of cluster sampling from a Chongqing community cohort,were surveyed.Results:Of4915subjects,63.83percent of elderly residents in Chongqing comˉmunity suffered from hypertension.The prevalence rate of hypertension increased with age,with more marked increase among the gradeⅡ～Ⅲhypertensive patients.Prevalence of phpertension,paricularly of gradeⅡ～Ⅲhypertension,in women,was significantly higher than that in men(P<0.01).The cohort with history of smoking and drinking also had higher prevalence of hypertension than the cohort with BMI(Body mass index)≥24and family history of hypertension(P<0.01).Hypertension,especially gradeⅡ～Ⅲhypertension,was found to be associated with acute cerebrovascular diseases,cardiovascular diseases,cognitive impairment,diabetes and hyperlipoidemia(P<0.01).Conclusions:The prevalence rate of hypertension in Chongqing community was63.83%.History of smoking and drinking,age,sex,and BMI≥24were main risk factors of hypertension.