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目的 :了解柳州市 6 0岁以上老年人群高血压流行状况。方法 :抽样调查柳州市 15岁及以上成人 410 5 7人 ,其中6 0岁以上老年人群 46 79人的高血压患病率 ,以 1999年 WHO推荐的 JNC 标准进行分析。结果 :本市老年人群高血压患病率男性 46 .5 1% ,女性 43.5 3% ,总患病率 45 .2 4% ;理想血压、正常血压人数分别占老年人的 2 1.6 9%和 49.6 0 % ;老年男性高血压患病率随着年龄增加而增高 ,女性则在 6 5岁达高峰后有所下降。老年人单纯收缩期高血压 (ISH)患病率为2 4.2 7% ,占整体人群单纯收缩期高血压病人的 5 3.5 3% ,占老年高血压病人的 5 3.6 6 %。知晓率、服药率、控制率依次为76 .0 0 %、 5 3.38%、 6 .0 0 %。饮酒可致血压升高 ,吸烟与高血压关系不大。结论 :本市老年人群高血压流行状况属高患病率、低知晓率、低服药率、低控制率 ,需加强社区高血压防治的管理与教育
Objective: To understand the prevalence of hypertension in the elderly over 60 years old in Liuzhou City. Methods : A sample of 410 5 7 adults aged 15 years and over in Liuzhou City was sampled. The prevalence of hypertension in 46 elderly people over 60 years of age was analyzed by the 1999 WHO-recommended JNC criteria. Results: The prevalence of hypertension in the elderly was 46.5% in the elderly, 43.5 3% in women, and the overall prevalence rate was 45.2%. The ideal blood pressure and normal blood pressure accounted for 21.69% and 49.6 in the elderly respectively. 0%; The prevalence of hypertension in older men increased with age, while women fell after peaking at 65 years. The prevalence of isolated systolic hypertension (ISH) in the elderly was 2 4.27%, which accounted for 53.5 3% of the total population with isolated systolic hypertension and 53.66% of the elderly with hypertension. The rate of awareness, medication, and control were 76.0%, 53.38%, and 6.00%, respectively. Drinking can cause high blood pressure, and smoking has little to do with high blood pressure. Conclusion : The prevalence of hypertension in the elderly in this city is high prevalence, low awareness rate, low medication rate, and low control rate. It is necessary to strengthen the management and education of hypertension prevention in the community.