安徽省中部慢病示范地区血压和血糖分布情况

Blood pressure and glucose distribution in chronic disease demonstration areas of mid Anhui province

目的了解安徽省中部地区20岁以上人群的血压及血糖分布情况、高血压及糖尿病的流行现状。方法选取安徽省中部地区共计535个村的卫生室的20岁以上居民日常血压和血糖检查数据进行统计,参与人群共计83 557人,采用R统计软件进行血压和血糖的年龄性别多层次统计分析,并对组间差异进行χ2检验。结果所有人群中进行血压测量的有74 805人,收缩压与年龄增长呈现正相关性,高血压患者28 687例,患病率为38.35%,标化患病率为25.98%,其中男性为38.18%,女性为38.52%,高血压患病率的性别差异无统计学意义(P=0.35)。参与血糖测量的有49 359人,在60岁之前血糖值随着年龄增长而增加,在50～69岁期间达到顶峰,而在70岁之后呈现缓慢的下降趋势。糖尿病患者6 969例,患病率为14.12%,标化患病率为10.17%,其中男性患病率为11.92%,女性为16.17%,女性糖尿病患病率远高于男性(P<0.01)。结论安徽省中部地区高血压及糖尿病患病率与全国平均水平相当且呈逐年上升趋势,建议进一步加强该地区的慢病防控及健康知识的宣传,优化医疗资源的配置,以促进高血压和糖尿病的管理和治疗工作。

Objective To understand the blood pressure and blood glucose distribution and current prevalence status of hypertension and diabetes among adults above 20 years old in the mid area of Anhui province. Methods Daily blood pressure and blood glucose measurement data from 83,557 people above 20 years old in 535 villages in the mid area of Anhui province were collected. R statistical software was used to conduct analysis and Chi-squared test. Results Totally 74,905 people participated in the blood pressure measurement, and their systolic pressure had a strong positive correlation with age. The hypertension prevalence rate was 38.35%(28,687/74,905), resulting a standardized morbidity of 25.98%. And there was no significant difference between males and females(38.35% vs.38.52%, P=0.35). Totally 49,359 people participated in the blood glucose measurement. The blood glucose level was increased with the age before 60 years old and reached its peak in the age between50 and 69, and it went down after 70 years old. The diabetes prevalence was 14.12%(6,969/49,359), resulting a standardized morbidity of 10.17%. And there was significant difference between males and females(11.92% vs. 16.17%, P<0.01). Conclusions There were high prevalence of hypertension and diabetes in the mid area of Anhui. Hypertension morbidity and diabetes morbidity are comparable to the national average morbidity, and both are increasing with time. To promote the management and treatment of hypertension and hyperglycemia, the advertisement of knowledge concerning chronic disease prevention and health maintenance should be strengthened, and medical resources configuration should be optimized in this area.