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目的了解经济落后的克山病病区居民的高血压患病水平,为偏远农村地区高血压防治提供科学依据。方法调查对象选自病区人群,对调查对象进行人口学资料调查、临床查体等检查,高血压的诊断标准参照《中国高血压防治指南》。结果调查18岁及以上的成年人共29,691人,男性12,547人,女性17,144人。检出的高血压患者7,891人,男性3,300人,女性4,591人。患病率为26.6%,其中男性为26.3%,女性为26.8%,各级高血压中60岁及以上的老年人超过50%。单纯性高血压在四类高血压中所占比例(29.2%)最高,一级高血压的患病率(28.9%)高于二级高血压(27.6%),三级高血压最低(14.4%)。结论克山病病区居民的高血压患病率已经高于全国平均水平,高血压防控政策调整及健康知识的普及需重视贫困偏远的农村地区。
Objective To understand the prevalence of hypertension among residents living in economically underdeveloped Keshan disease and provide a scientific basis for the prevention and treatment of hypertension in remote rural areas. Methods The subjects were selected from the ward, and the demographic data and clinical examination were performed on the subjects. The diagnostic criteria for hypertension were based on the Guide to Prevention and Treatment of Hypertension in China. Results A total of 29,691 adults aged 18 and over were surveyed, with 12,547 males and 17,144 females. 7,891 people were found to have hypertension, 3,300 men and 4,591 women. The prevalence was 26.6%, with 26.3% of males and 26.8% of females, and over 50% of elderly people aged 60 and over at all levels of hypertension. The prevalence of hypertension was highest in the four categories of hypertension (29.2%), the prevalence of primary hypertension (28.9%) was higher than that of secondary hypertension (27.6%), and that of tertiary hypertension was the lowest (14.4% ). Conclusion The prevalence of hypertension among residents in Keshan disease area has been higher than the national average. The adjustment of hypertension prevention and control policies and the popularization of health knowledge should pay attention to the remote rural areas.