摘要
目的 探讨浙江省人群高血压流行水平以及影响我省的主要危险因素。方法 采用心血管流行病学的调查研究方法和标准 ,对浙江省十一市城市、农村≥ 15岁的自然人群 11916人进行高血压抽样调查 ,所得数据采用X2 检验、相关系数、危险度强弱指标分析。结果 ①浙江省高血压患病率 33 4 % ,标化患病率18 7% ,其中 :城市 35 4 % ,农村 31 5 % ;②收缩压 /舒张压均随年龄增长递增 ,4 0岁开始患病率明显增高 ,与本省 1990年高血压调查相比 ,显示高血压的患病年龄提前了 10年 ;③血压水平与年龄、BMI、血糖水平、血脂水平、高血压家族史以及心脑血管病病史呈正相关 ;④危险强度指标RR >1 5的主要影响因素顺位为 :年龄、心脑血管疾病史、超重、糖尿病或高血糖、高血脂 ;结论 ①浙江省人群高血压患病率 13年间成倍上升 ,以农村人群增长为显著 ;②高血压患病年龄提前 10年 ;③影响我省高血压的主要危险因素为高血糖、超重、高血脂 ;④我省高血压防治工作形势严峻 ,迫切需要开展社区高血压综合防治工作。
Objective To explore the epidemiological features a nd risk factors of hypertension in zhejiang during 1990-2003. Methods According to the cardiovascular epidemic survey methods and standards,hype rtension morbidity, influence factors were investigated in 11916 people(≥15 yea rs old) in Zhejiang. Data were analyzed by chi-square test and coefficient of co rrelation RR. Results 1) The morbidity rate of hypertension(MRH) was 33.4% and the age-standardized MRH was 18.7% in Zhejiang. The MRH in urba n population and rural areas was 35.4% and 31.5%, respectively. 2) SBP and DBP were increased progressively with age. MRH increased dramatically after 40years old.The peak age of hypertension advanced 10 years since 1990. 3) Blood pressur e has significantly positive correlation with age, weight, glucose, blood lipids ,family hypertension history and cardio-cerebral vascular disease history, ctc. 4) The influence factors of RR>1.5 were ranked as age, history of cardio-cereb ral vascular disease history, higher BMI, hyperglycemia,and hyperlipemia. Conclusions It is important to carry out comprehensive prevention and treatment for hypertension in communities.[
出处
《心脑血管病防治》
2004年第5期5-10,共6页
CARDIO-CEREBROVASCULAR DISEASE PREVENTION AND TREATMENT
基金
浙江省医药卫生科研基金项目 (2 0 0 4B0 0 8)
关键词
高血压
患病率
影响因素
Hypertension
Morbidity rate
Risk factor
