成都地区老年人群高血压的流行病学调查

目的探讨成都城乡地区老年人群高血压流行状况,为今后成都市老年人群高血压防治奠定基础。方法 2008年在成都地区调查老年人群高血压患病率、知晓率、治疗率及控制率。样本的获取采用分层整群抽样的方法,以社区（村）为单位,抽取成都市2008年城乡社区60～79岁人群2005例进行高血压及相关因素的调查。结果成都地区老年人群高血压患病率51.77%,标准化率为47.36%。高血压患病率随年龄增大而逐渐增高,65岁以上的老年人超过半数有高血压。成都地区老年人群高血压知晓率55.0 1%、治疗率40.08%、控制率20.23%,城市老年人群高血压知晓率58.50%、治疗率43.29%、控制率22.04%,明显高于农村33.33%、20.1 4%、9.03%的知晓率、治疗率及控制率,均P〈0.01。结论成都地区老年人群高血压患病率高,知晓率、治疗率、控制率低。老年人群应作为血压监测重点人群,尤其是65岁以上老年人群。尚需进一步加强成都地区的社区老年高血压防治工作,特别是农村地区,以提高社区老年高血压患者的管理水平,提高老年高血压的控制率。

Prevalent study of hypertension among elderly people in chengdu area

Objective To investigate the present prevalence of hypertension among elderly people in urban and rural region of Chengdu,for the foundation of making control and prevention policy in Chengdu city.Methods The rates of prevalence,awareness,treatment and control of hypertension among elderly people were investigated in Chengdu in 2008.2005 representative people at the age between 60 and 79 were selected by stratified cluster sampling in which community was used as basic sampling unit,covering urban and rural communities in Chengdu.Results Hypertension prevalence in elderly in Chengdu was 51.77%,and standardized rate was 47.36%,which increased with the growth of age.More than half of the elderly people above 65 year old suffered hypertension.The awareness rate,treatment rate and control rate of them were significantly higher in urban areas than in rural areas（58.50%,4329% and 22.04% vs.33.33%,20.14%,9.03 %,P0.01）.Conclusion Prevalence of hypertension among elderly people in urban and rural region of Chengdu was high;,still awareness,treatment and control rate were low.The elderly people need to monitor blood pressure closely,especially the elderly population over the age of 65.it necessary to strengthen prevention and control of hypertension in elderly in the community of Chengdu,especially in Chengdu,the region needs to be further strengthened prevention and control of hypertension in elderly in the community,especially urban areas,thus to improve the management of eldeyly patients with hypertension in the community,to improve the control rate in elderly patient of hypertension.