兰州市40岁以上居民高血压病患病率及其危险因素分析

目的:调查兰州市社区40岁以上居民高血压病的患病情况并分析其相关危险因素。方法:整群随机抽取兰州市天庆嘉园社区1 969名40岁以上居民进行问卷调查,并测其身高、体重、腰围、血压、空腹血糖、餐后血糖、血脂。高血压的诊断以1999年中国高血压联盟提出的新标准为依据。调查居民中高血压的患病率、知晓率、治疗率和控制率,并分析高血压的相关危险因素。结果:40岁以上居民中高血压病患病率为43.47%,标化患病率为38.12%;男性患病率高于女性(39.41%比36.93%,P<0.001)。高血压知晓率为60.75%,治疗率40.07%,控制率为15.89%。Logistic回归分析结果表明,打鼾、空腹血糖升高、高血压家族史、常吃咸菜、年龄、常吃肉类、腰围增大均为高血压的危险因素。结论:兰州市居民高血压病患病率达38.12%,而知晓率、治疗率和控制率低,急需建立有效的综合干预策略。

Prevalence of hypertension and its risk factors in residents aged over 40 years in Lanzhou city

Objective To study the prevalence of hypertension and its risk factors in residents aged over 40 years in Lanzhou Tianqingjiayuan community.Methods A random sampling study was performed in Lanzhou Tianqingjiayuan community with a representative sample of 1 969 adults aged above 40 years.Questionnaire was conducted.Height,weight,waistline,blood pressure,fasting plasma glucose(FPG),postprandial plasma glucose,lipid,and other indices were determined.The Chinese Hypertension League(CHL,1999) criteria was used for diagnosis of hypertension.Results The prevalence of hypertension was 43.47%,age-and sex-adjusted prevalence was 38.12%.The prevalence of hypertension in male was higher than that in female(39.41% vs 36.93%,P< 0.001),the awareness rate of hypertension was 60.75%,the treatment rate was 40.07%,and the blood pressure control rate was 15.89%.Multivariate logistic regression analysis showed that the risk factors for hypertension in this study population were: snore,FPG,family history of hypertension,pickles,age,meat,waistline.Conclusions The prevalence of hypertension in residents aged over 40 years in Lanzhou Tianqingjiayuan community was 38.12%.However,the awareness,treatment and blood pressure control rates were low.Comprehensive intervention strategy is urgently needed.