延安市居民高血压患病及与代谢疾病关系

目的了解陕西省延安市居民高血压患病情况及相关因素。方法按照全国高血压流行病学调查方法,在4个调查点(包括社区、乡、镇)中抽取20～74岁常住人口1 288人,调查包括问卷、体格检查及生化检查。结果延安市居民高血压粗患病率为21.4%,标化患病率为19.8%;高血压患病率随年龄增加呈明显上升趋势,50～74岁女性患病率明显超过男性;高血脂、高尿酸、空腹血糖受损(IFG)、糖耐量减低(IGT)、糖尿病、超重、肥胖在血压正常组的患病率分别为30.2%、4.2%、27.7%、18.5%、9.8%、30.4%、10.2%,在高血压组的患病率分别为55.6%、10.2%、42.2%、39.6%、19.6%、49.8%、24.4%组间差异有统计学意义。结论高血压是延安居民一种常见病;在高血压人群中高血糖、高血脂、高尿酸及肥胖的发病率明显升高。

Hypertension and related factors among residents of Yah' an city

Objective To explore the prevalence and related factors of hypertension among the residents in Yan’an city of Shaanxi province.Methods According to the national hypertension epidemiology investigation method,1 288 permanent residents aged 20-74 years were selected from four survey sites(including community,town,village) and questionnaire survey,physical examination,and biochemistry tests were conducted.Results The crude prevalence of hypertension was 21.4% with a standardized prevalence of 19.8%.The prevalence of hypertension increased with the age and the prevalence in the female was significantly higher than in the male among the residents aged 50-74 years old.The pervalence of high blood lipid,high uric acid,impaired fasting glucose,impaired glucose tolerance,diabetes,overweight,and obesity in the normotension and hypertension group were 30.2%,4.2%,27.7%,18.5%,9.8%,30.4%,and 10.2% and 55.6%,10.2%,42.2%,39.6%,19.65,49.8%,and 24.4%,respectively,with signifecan differences(P<0.05 for all).Conclusion Hypertension is prevalent among adult residents of Yan’an city.The prevalences of high blood sugar,high blood lipid,high uric acid,and obesity was significantly higher in hypertension group.