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目的了解陕西省延安市居民高血压患病情况及相关因素。方法按照全国高血压流行病学调查方法,在4个调查点(包括社区、乡、镇)中抽取20～74岁常住人口1 288人,调查包括问卷、体格检查及生化检查。结果延安市居民高血压粗患病率为21.4%,标化患病率为19.8%;高血压患病率随年龄增加呈明显上升趋势,50～74岁女性患病率明显超过男性;高血脂、高尿酸、空腹血糖受损(IFG)、糖耐量减低(IGT)、糖尿病、超重、肥胖在血压正常组的患病率分别为30.2%、4.2%、27.7%、18.5%、9.8%、30.4%、10.2%,在高血压组的患病率分别为55.6%、10.2%、42.2%、39.6%、19.6%、49.8%、24.4%组间差异有统计学意义。结论高血压是延安居民一种常见病;在高血压人群中高血糖、高血脂、高尿酸及肥胖的发病率明显升高。
Objective To understand the prevalence and related factors of hypertension among residents in Yan’an City, Shaanxi Province. Methods According to the national epidemiological survey of hypertension, 1 288 people aged 20-74 were selected from 4 survey sites (including communities, townships and towns). The survey included questionnaires, physical examination and biochemical tests. Results The crude prevalence of hypertension in Yan’an residents was 21.4%, and the standardized prevalence was 19.8%. The prevalence of hypertension was significantly increased with the increase of age, and the prevalence was significantly higher in males aged 50-74 years than in males. The prevalence of hyperlipidemia The prevalences of hyperuricemia, impaired fasting glucose (IFG), impaired glucose tolerance (IGT), diabetes, overweight and obesity in the normotensive group were 30.2%, 4.2%, 27.7%, 18.5%, 9.8%, 30.4 % And 10.2% respectively. The prevalence rates in hypertension group were 55.6%, 10.2%, 42.2%, 39.6%, 19.6%, 49.8% and 24.4% respectively. Conclusion Hypertension is a common disease in Yanan residents. The incidence of hyperglycemia, hyperlipidemia, hyperuricaemia and obesity is significantly elevated in hypertensive population.