佛山市普君街道办事处老年高血压患病率调查

目的　探讨广东佛山市普君街道办事处老年高血压患病率情况。方法　按统一方法对佛山市禅城区普君街道办事处 6 0岁以上常住居民 3382人进行现场问卷调查 ,同时测量人体基本参数如血压、身高、体重等 ,并进行餐后 2小时血糖测定 ,以及空腹血糖、血脂常规、血尿酸等测定。结果　高血压粗患病率 4 0 0 % ,标化率为 4 0 0 % ,较佛山 1993年 (5 1 5 % )明显下降。单纯收缩期高血压 (ISH)粗患病率 2 1 3% ,标化率为 2 2 1%。女性患病率高于男性。新检出高血压患者占高血压病患者总数的 4 0 1% ,ISH占高血压病患者总数的 5 3 9% ,随年龄增长高血压患病率增高。老年人群平均收缩压 (SBP)为 12 6± 17mmHg、舒张压 (DBP)为 77± 8mmHg、脉压 (PP)为 4 9± 11mmHg。高血压组的年龄、血压、体重、体重指数、餐后 2小时血糖、空腹血糖、尿酸及血脂 (总胆固醇、甘油三酯 )与非高血压组比较有差异 ,(P <0 0 1～ 0 0 5 )。结论　高血压与多种危险因素有密切相关 ,佛山市老年人高血压患病率高 ,应当重视开展高血压的社区防治。

The Prevalence Rate of Hypertension and Risk Factors in the Elderly People in Foshan

Objective To study the prevalence rate of hypertension and the risk factors in the elderly people in Chan Cheng district in Foshan. Methods A cohort of 3382 people age above 60 years old was surveyed by a standardized protocol. Blood pressure, body height and weight, blood lipid, blood glucose, OGTT and blood uric acid were examined. Results The mean BP in this cohort of population was 126/77 mmHg which was increased along with age. The crude prevalence rate of hypertension was 39.5%, and the age-adjusted rate was 40.0%.\ Compared with the prevalence of hypertension (Foshan) in 1993, the present prevalence rate of hypertension seems to be decreased(40.0% vs 51.5%). The crude prevalence rate of isolated systolic hypertension(ISH) was 21.3%, and the age-adjusted rate was 21.6%, the prevalence rate of ISH increased progressively with aging. New found-hypertension was 40.1% and ISH was 53.9% among hypertension patients. It is found that the prevalence rate of hyperlipidemia, hyperuricemia, overweight and hyperglucosemia in hypertension were higher than that in normotensives (P<0.01-0.05). Conclusion Hypertension and the risk factors were closely related. The high prevalence rate of hypertension Foshan in Guangdong suggesting more aggressive strategies toward prevention and treatment of hypertension should be highlighted.