国家公务员9个机关6052例高血压患病率分析

目的用1999年WHO/ISH的高血压诊断标准和1978年WHO标准对高血压患病率进行探讨。方法自愿体检者来自9个国家机关的公务员(含退休人员)6052人,男3494人,女2558人,年龄17～91岁。由相同的医务人员对其全面体检,排除继发性高血压病。血压按规定由专人测量、记录。20岁以上按每10岁1个年龄组进行统计,结果进行χ2检验。结果按1978年WHO标准,高血压患病率为13.28%,高于1980,1991年全国普查患病率的9.1%,11.26%。按1999年WHO/ISH标准高血压患病率为23.35%,其中男性组患病率为28.24%,女性组为16.75%,男性患病率明显高于女性(P<0.001)。各年龄组患病率男性组高于女性组(P<0.001),均随增龄而增高,40岁以上更明显。边缘高血压者也随增龄而增加,到80岁组有下降。收缩压等于140mmHg组,女性患病率高于男性(P<0.05),但Ⅲ级高血压组则相反(P<0.05)。结论1999年WHO/ISH标准的高血压患病率明显高于1978年WHO标准的患病率,患病率随增龄有增高趋势,男性高血压总患病率明显高于女性。

Analysis of hypertenstion morbidity in 6 052 public servants from 9 countries

Aim To study hypertension morbidity according to WHO/ISH(1999) and WHO(1978)diagnositic standards.Methods 6 052 volunters were public servats(including retired) from 9 countries with 3 494 males adn 2 558 females,aged 17-91 years.To conduct general physical examination for public servants except for secondary hypertension.A persion was specially designated for measuring the BP.Results The hypertensive morbidity was 13.28%according to WHO standards(1978)that was performed by sme medical staffs,which was higher than 9.1%and 11.26%in 1980 and 1991 respectively.The hypertensive morbidity was 23.35%according to WHO/ISH(1999).The morbidity rate of the men group was 28.24%and significantly higher than that of the women group which was 16.75%(P< 0.001).The morbidity increases with age.This was obvious for public servants of over 40 years of the age.The marginal hypertension also increases with age, but the morbidity of 80 year old group falls.In the group whose systolic blood pressure was 140 mmHg,the morbidity of women was higher than men(P< 0.05).But this was just the opposite in the hypertension III group(P< 0.05). Conclusion The hypertensive morbidity according to WHO/ISH(1999) standards is higher than that according to WHO(1978)standards.Relaxation of hypertensive diagnostic standards is conductive to early prevention and treatment.The margin hypertension should be properly cured according to risks.Prevalence has an increasing tendency with increasing of age and total prevance in males is obvious higher than that in females.