常州市城乡居民高血压病流行特征及其与糖尿病关系的研究

An epidemiological survey of hypertension and diabetes in Changzhou, Jiangsu Province

目的:了解常州市城乡居民高血压病流行特征及其与2型糖尿病的关系。方法:对该市20岁以上自然人群的高血压病流行特征进行调查,并对其与糖尿病的关系进行研究。结果:常州市20岁以上城镇自然人群确诊高血压患病率为23.6％(男性23.0％,女性23.9％),乡村为10.1％(男性12.1％,女性8.8％),均高于全国城乡平均患病率水平。确诊和临界高血压合计的患病率城镇为33.9％,乡村为18.2％。无论城市和乡村,高血压患者中的血糖水平和糖尿病的患病率均显著高于非高血压患者。城市人群确诊高血压患者中糖尿病的患病率男、女分别为14.8％和23.6％,显著高于临界高血压患者中糖尿病的患病率(男、女分别为8.0％和13.6％)以及正常血压者中的糖尿病患病率(男、女分别为3.5％和7.4％)。结论:高血压病与糖尿病可能具有共同的致病因素,两者之间的关系值得进一步研究。

Objective : In order to determine the epidemic characteristics of hypertension and its relationship with non -insulin- dependent-diabetes mellitus(NIDDM) in urban and rural residents of Changzhou. Methods; 3 222 subjects (urban 1 616, rural area 1 606), which were from four areas of Changzhou with cluster sampled. Result: It showed that the prevalence of hypertension among urban population >20 years of age were 23 . 6% (male 23. 0%, female 23. 9%) ,and among rural population were 10. 1% (male 12. 1%, female 8. 8%) respectively, which were higher than the average level in nationwide. The average blood glucose level and the prevalence of NIDDM were significantly higher among subjects with confirmed hypertension than subjects with normal blood pressure. The prevalence of NIDDM among urban residents with hypertension were 14. 8% for males and 23. 6% for females, which were significantly higher than those with normal blood pressure (3. 5% for males and 7. 4% for females ). Conclusion: The results suggested that there are probably shared common risk factors for both hypertension and NIDDM, the relationship between the two disease need to be studied furtherly.