2007年全国克山病病区居民高血压患病率调查分析

目的研究经济落后的克山病病区居民的高血压患病水平。方法调查对象选自2007年全国克山病历史重病区人群,对调查对象进行人口学资料、临床查体等检查,高血压诊断以《中国高血压防治指南》为标准。结果本次共调查18岁以上居民12004人,其中高血压患者2754例,患病率为22.9%,男女高血压患病率均为22.9%;高血压的患病率随年龄升高而上升,75岁以上人群患病率（55%）最高,各年龄组血压患病率差异有统计学意义;一级高血压在四类高血压分级中所占比例（28.5%）最大,二级高血压（27.7%）,单纯收缩期高血压（25.7%）三级高血压最低（18.1%）,差异有统计学意义。估计全国克山病病区18岁以上人群有高血压患者1370万例。结论克山病病区人群的高血压患病率高于全国水平,高血压是病区居民的一个重要公共卫生问题,加强病区高血压的监测和防控刻不容缓。

The prevalence of hypertension among people in Keshan disease endemic areas in the year 2007

demic areas in Objective To 2007. Methods investigate the prevalence of hypertension in population of Keshan disease （KD） en- The subjects were recruited from the KD endemic areas where KD was historically prevalent. Demographic data were collected with questionnaires. Subjects received medical examinations, and the diagnostic criterion for hypertension was based on the 2010 Chinese Guidelines for Management of Hypertension. Results A total of 12 004 subjects aged ≥18 years old were surveyed and hypertension was diagnosed in 2 754 people, the prevalence being 22.9%. The prevalence increased with age, which was the highest among individuals aged 975 years （55 %）, and there was statistical difference among different age groups. The proportion of grade one hypertension was the highest （28. 5%）, followed by grade two （27. 7%）, isolated systolic hypertension （25.7 % ）, and grade three （18.2%~）. It was estimated that there were about 13.7 million people with hypertension in KD endemic areas. Conclusions The prevalence of hypertension in KD endemic areas is higher than the national average. As hypertension is an important health hazard, surveillance, prevention and control of this disease are important in the KD endemic areas.