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目的了解西安市区城乡原发性高血压患病情况。方法以社区为基础对城乡社区46833人的原发性高血压进行调查。结果在35岁以上人群中,城乡高血压患病率分别为30%与28.2%,城市高血压的患病率明显高于农村。城乡非高血压人群中,均约有一半的人具有高血压的危险因素。城市高血压的知晓率、治疗率控制率分别为74.7%、30.1%与12.5%,农村则为57.8%、20.1%与10.7%。城乡既往诊断的高血压患者中,均有一半以上的人未服药治疗。城乡新检出高血压患者类型构成相似,均以轻度与单纯收缩期高血压为主。结论在西安市城乡社区亟需开展高血压病的综合防治工作,普及预防高血压知识,对高血压患者予以系统地管理与治疗。
Objective To understand the prevalence of essential hypertension in urban and rural areas of Xi’an. Methods Based on community-based survey of 46,833 primary hypertension in urban and rural communities. Results The prevalence rate of hypertension in urban and rural areas was 30% and 28.2% respectively in people over 35 years old. The prevalence of urban hypertension was significantly higher than that in rural areas. About half of urban and rural non-hypertensive people have risk factors for hypertension. The awareness rate and treatment rate of urban hypertension were 74.7%, 30.1% and 12.5% respectively, while those in rural areas were 57.8%, 20.1% and 10.7% respectively. Of the previously diagnosed hypertensive patients in urban and rural areas, more than half of the people were not given medication. Hypertension patients newly found in urban and rural areas are similar in type, both mild and isolated systolic hypertension. Conclusion The urban and rural communities in Xi’an need to carry out comprehensive prevention and treatment of hypertension, popularization of knowledge to prevent hypertension, hypertension in patients with systematic management and treatment.