甘肃省中老年居民高血压现状的流行病学调查

发布时间：2018-04-18 07:43

本文选题：高血压 + 流行病学　；参考：《中国老年学杂志》2017年16期

【摘要】：目的调查甘肃省中老年居民高血压流行病学现状。方法分层整群随机抽取甘肃省14市州的15 052例45岁及以上中老年居民进行高血压患病现况调查。结果甘肃省中老年居民高血压患病率为36.20%,标化患病率为35.09%,其中男性患病率为35.23%(标化率33.92%),女性37.10%(标化率36.05%)。正常高值血压检出率为39.74%,高血压总知晓率为50.47%、治疗率为40.15%、控制率为17.56%,农村明显低于城市(P0.05),城乡人群患病率分别为35.96%和36.44%。回族、藏族、汉族中老年居民患病率分别为37.31%、36.94%和35.82%。多因素回归分析显示,教育水平、就业状况、家庭收入、肥胖、吸烟、饮酒、高盐高油饮食、主食量、并发疾病、家族史及运动状况均与高血压患病密切相关。结论甘肃省中老年居民高血压患病率较高,但居民高血压知晓率、治疗率及控制率较低,尤其在农村地区,应加强健康宣教,提升中老年高血压防治水平。
[Abstract]:Objective to investigate the epidemiological status of hypertension in middle aged and aged residents in Gansu province.Methods the prevalence of hypertension was investigated in 15 052 middle and old aged people aged 45 years and above in 14 cities of Gansu province by stratified cluster random sampling.Results the prevalence of hypertension was 36.20 and the standardized prevalence was 35.09in Gansu province. The prevalence rate of male was 35.230.The standardized rate was 33.92%, and that of female was 37.10% (standardized rate 36.05%).The detection rate of normal high blood pressure was 39.74. The total awareness rate of hypertension was 50.477.The treatment rate was 40.1510 and the control rate was 17.560.The prevalence rate in rural areas was significantly lower than that in urban areas (35.96% and 36.44%, respectively).The prevalence rates of Hui, Tibetan and Han were 36.94% and 35.82%, respectively.Multivariate regression analysis showed that education level, employment status, family income, obesity, smoking, drinking, high salt and high oil diet, main food intake, complicated diseases, family history and exercise status were closely related to hypertension.Conclusion the prevalence rate of hypertension is higher in middle-aged and elderly residents in Gansu province, but the awareness rate, treatment rate and control rate of hypertension in residents are low. Especially in rural areas, health education should be strengthened to improve the level of prevention and treatment of hypertension in middle-aged and elderly people.
【作者单位】：兰州大学第二医院心内3科;兰州大学第二医院心内1科;
【基金】：甘肃省重大疾病研究课题(No.201203)
【分类号】：R181.81;R544.1

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