贵州省黔灵镇社区老人高血压知晓率、治疗率与控制率调查

A survey on awareness, treatment and control rates of hypertension in the elder of Qianling Town, Guizhou Province

目的调查贵州心脑血管疾病防治社区老年人群高血压的患病率、有关危险因素及防治状况,旨在探讨防治对策,提高老年人群的生活质量。方法于2001-04在贵州省心脑血管病社区防治示范点对15岁以上人群6372人进行普查,并随机抽样2400人进行问卷调查及血糖、血脂和心电图检查。筛选其中年龄≥60岁人群的资料进行研究。结果社区老年人群高血压患病率为高达44.9%,显著高于全人群的23.42%(χ2=207.3,P<0.0001)。老年人群的高血压知晓率、治疗率、控制率分别为19.06%;13.88%;1.88%,其中,控制率显著低于全人群的4.63%(χ2=6.473,P=0.011)。老年人群中,饮酒、吸烟、超重肥胖者高血压发病率显著增高(χ2≥5.41,P≤0.02)。结论贵州省社区老年人高血压发病情况严重、治疗远未到位、综合防治工作亟待加强。

Aim To assess the hypertension prevalence, awareness rate, and treatm en t rate and control rate in older persons of Guizhou Township of prevention and t reatment of brain-cardiovascular disease and search the countermeasures to prom ote the life quality.Methods A mass survey was conducted among 6 372 cases aged >15 years old in the township of Guizhou Province for the prevention and cure of hypertension. 2 400 cases of them were randomly selected to accept the question naire survey and electrocardiograph(ECG). Blood sugar and blood lipid were also measured. The older persons aged ≥60 years old were analyzed in results.Results The hypertensive morbidity in senile was up to 44.9%in the township, significa ntly higher than that of all the subjects(23.42%,χ2=207.3,P< 0.0001). Among th e older persons with hypertension, the awareness rate, treatment rate and contro l rate were 19.06%, 13.88%and 1.88%respectively, among which the control rate was significantly lower than that of all the subjects (4.63%,χ2=6.473,P=0.01 1). The hypertension morbidity increased significantly in the senile of drinking , smoking and obesity(χ2≥5.41,P≤0.02). Conclusion Senile hypertension is s evere in the township of Guizhou, and the prevention and treatment of senile hyp ertension in the township should be intensive immediately.