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目的了解北京市昌平区18岁以上常住人口高血压病的动态变化,指导昌平区高血压病防治工作。方法北京市昌平区分别于2002、2005、2008年进行3次慢性病行为危险因素横断面调查,采用多阶段整群抽样方法,使用问卷调查。结果 2002、2005、2008年分别调查912、2 991、1 724人,结果北京市昌平区18岁以上常住人口的高血压患病率分别为30.04%、44.37%、34.74%,有上升趋势(χ2=79.98,P<0.01)。3年间男性高血压患病率(42.86%),高于女性患病率(36.33%),差异有统计学意义(χ2=24.61,P<0.01)。结论加强社区居民的健康教育与健康促进,高血压病人的规范化管理,提高居民对于高血压病及其危险因素的认识,提高居民锻炼意识,促进合理膳食结构的建立,做好高血压的防治工作是今后昌平区高血压病防治工作的重点。
Objective To understand the dynamic changes of hypertension among residents over 18 years old in Changping District of Beijing and to guide the prevention and control of hypertension in Changping District. Methods Changping District of Beijing conducted three cross-sectional surveys on behavioral risk factors of chronic diseases in 2002, 2005, and 2008 respectively. A multistage cluster sampling method was used and questionnaires were used. Results A total of 912,2991,1 724 people were investigated in 2002, 2005 and 2008 respectively. The prevalence of hypertension among those over 18 years old in Changping District was 30.04%, 44.37% and 34.74%, respectively (χ2 = 79.98, P <0.01). The prevalence rate of hypertension was 42.86% in 3 years, which was higher than that in women (36.33%), the difference was statistically significant (χ2 = 24.61, P <0.01). Conclusion To strengthen the health education and health promotion of community residents, standardize the management of hypertensive patients, raise residents ’awareness of hypertension and its risk factors, raise residents’ awareness of exercise, promote the establishment of a reasonable dietary structure, and prevent and control high blood pressure Changping District is the focus of prevention and treatment of hypertension in the future.