酒仙桥地区中老年人高血压患病调查

为了解酒仙桥地区老年人高血压的流行现状和主要危险因素 ,以制定合理的预防措施 ,于1996年 6～ 12月对北京酒仙桥地区 9个居委会 2 0 55名 50岁以上中老年人进行高血压患病调查。并抽查 2 39例高血压患者和 2 67名非高血压者进行 75g葡萄糖耐量试验和心电图检查。结果共发现临界高血压和确诊高血压 874例 ,临界高血压和确诊高血压患病率分别是 10 .9%和 31.6% ,合计 4 2 .5% ;男性确诊高血压高于女性 (P <0 .0 5) ;单纯收缩期高血压患病率为 7.5% ,随年龄增加而增加 (P <0 .0 5) ;男女单纯高血压患病率无差异 (P >0 .0 5) ;有 2 5.6%的患者否认或不知道有高血压 ;高血压病人组伴发糖尿病、糖耐量低减和冠心病患病率明显高于非高血压组 (P <0 .0 1)。结果表明 ,高血压是社区老年人的主要疾病之一 ,需加强社区高血压的管理和教育。

A Community-based Survey on Hypertension in the Medium-aged-Elderly in Jiuxianqiao Area Beijing

To investigate the epidemiologic features of hypertension and major risk factors in the middle-elderly in Jiuxianqiao area and to develop reasonable preventive strategies, from June to December 1996, nine communities of Jiuxianqiao area were selected for the study. Two thousand and fifty-five middle-elderly (age > or = 50 years old) were investigated including measurement of blood pressure and identifying risk factors of hypertension. Two hundred and thirty-nine hypertensive patients and two hundreds sixty-seven person with normal blood pressure from the study population were examined through oral 75 grams glucose tolerance and electrocardiogram. The prevalence rates of definite and borderline hypertension were 31.6% and 10.9% respectively with a total rate of 42.5%. The prevalence rate of definite hypertension in males was significantly higher than that in females (P < 0.05). The prevalence rate of systolic hypertension was 7.5% but increased paralelly with age (P < 0.05). The prevalence rate of systolic hypertension in females was not significantly higher than that in males. 25.6% of patients with hypertension under investigation denied or were ignorant about having hypertension. The prevalence rates of diabetes, impaired glucose tolerance (IGT) and coronary heart disease in hypertensive group were significantly higher than that in people with normal blood pressure (P < 0.01). CONCLUSION: Hypertension is a disease that seriously endangers the health of the middle-elderly in the community on which calls for more care and education in the community.