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克山病病区10年血压变化研究

A 10-year Study on Blood Pressure Changes in Keshan Disease Area
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摘要 目的了解克山病病区的血压情况及变化趋势,为高血压防控政策提供科学依据.方法2005年及2015年按《全国克山病监测方案》监测攀枝花市仁和区啊喇乡官房村3岁及以上常住村民血压,本文采用18岁及以上常住村民血压.高血压诊断标准参照《中国高血压防治指南》(2018年修订版).年龄分段按联合国世界卫生组织年龄分段标准.结果2005年监测150人,2015年监测382人;与2005年相比,2015年各年龄性别组收缩压、舒张压差均有不同程度的增加,其中青年男性的收缩压(P=0.000)、舒张压(P=0.021)差异性明显;年龄性别组高血压患病率增加,高血压患病率青年男性组增加明显(χ2=4.864,P=0.027).结论克山病病区在2005年至2015年期间各项血压数值均有上升,高血压发病率增加,高血压发病年轻化,高血压防控政策调整及健康知识普及需重视贫困偏的农村地区. Objective To understand the blood pressure situation and changing trend in Keshan disease area,and provide scientific basis for hypertension prevention and control policies.Methods The blood pressure of resident villagers aged 3 and over in Guanfang Village,Ala Township,Renhe District,Panzhihua City was monitored in 2005 and 2015 according to the"National Keshan Disease Surveillance Program."The diagnostic criteria for hypertension refer to the Chinese Guidelines for the Prevention and Treatment of Hypertension(2018 revision).Age classification is based on the UN World Health Organization age classification criteria.Results 150 people were monitored in 2005 and 382 were monitored in 2015.Compared with 2005,the systolic blood pressure and diastolic blood pressure of all age groups increased in different degrees in 2015.Among them,the systolic blood pressure of young men(P=0.000),Diastolic blood pressure(P=0.021)was significantly different;the prevalence of hypertension in the age and sex groups increased,and the prevalence of hypertension in the young male group increased significantly(χ2=4.864,P=0.027).Conclusion The blood pressure values of Keshan disease area increased from 2005 to 2015,the incidence of hypertension increased,the incidence of hypertension was younger,the adjustment of hypertension prevention and control policies and the spread of health knowledge need to pay attention to the poor rural areas.
作者 毛鹏 MAO Peng(Chronic disease Department,Renhe District,Panzhi City,Panzhihua 617061,Sichuan,China)
出处 《医学信息》 2020年第S01期54-55,共2页 Journal of Medical Information
关键词 克山病病区 血压 高血压 变化 Keshan disease area blood pressure hypertension change
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