摘要
目的了解四川省克山病病区居民高血压检出情况,为今后四川省克山病病区人群高血压的防控提供科学依据。方法2017-2018年,在四川省28个克山病病区县(市、区,简称县)开展克山病病例搜索,根据病例搜索结果选取调查点,由专业人士按统一的克山病监测方案对调查点的常住人口进行问卷调查与血压测量等,高血压的诊断标准参照《中国高血压防治指南》(2019年版)。结果28个县共调查16岁及以上人群24709例,检出高血压患者6022例,检出率为24.4%(6022/24709);其中男性高血压检出率为25.5%(2597/10199),女性高血压检出率为23.6%(3425/14510);单纯收缩期高血压占46.5%(2798/6022);各级高血压构成比,一级占61.9%(3725/6022)、二级占27.6%(1665/6022)、三级占10.5%(632/6022)。结论四川省克山病病区高血压检出率虽低于全国克山病病区高血压检出率(26.3%),但仍是长期的公共卫生问题,对克山病病区相关疾病的监测及健康教育宣传工作应持续开展。
Objective:To understand the prevalence of hypertension among residents in Keshan disease areas of Sichuan Province,in order to provide scientific basis for prevention and control of hypertension among residents in Keshan disease areas in Sichuan Province in the future.Methods:From 2017 to 2018,Keshan disease case search was carried out in 28 Keshan disease counties(cities,districts,referred to as counties)in Sichuan Province.According to the results of case search,survey sites were selected.Questionnaire survey and blood pressure measurement on permanent residents of the survey sites were conducted according to the unified Keshan disease monitoring plan by professionals.The diagnostic criteria of hypertension refer to the"Chinese Guidelines for Prevention and Treatment of Hypertension"(2019).Results:Totally 24709 people aged 16 and over were investigated in 28 counties,and 6022 patients with hypertension were detected,with a detection rate of 24.4%(6022/24709);the prevalence of hypertension was 25.5%(2597/10199)in male and 23.6%(3425/14510)in female;isolated systolic hypertension accounted for 46.5%(2798/6022);the constituent ratio of hypertension was 61.9%(3725/6022)in grade one,27.6%(1665/6022)in grade two and 10.5%(632/6022)in grade three.Conclusions:Although the detection rate of hypertension in Keshan disease areas in Sichuan Province is lower than that in the whole country(26.3%),it is still a long-term public health problem.The monitoring of related diseases and health education should be carried out continuously in Keshan disease areas.
作者
李锋
蔡卫
李津蜀
Li Feng;Cai Wei;Li Jinshu(Institute for Endemic Disease Control and Prevention,Sichuan Provincial Center for Disease Control and Prevention,Chengdu 610041,China)
出处
《中华地方病学杂志》
CAS
北大核心
2021年第8期648-651,共4页
Chinese Journal of Endemiology
关键词
高血压
克山病病区
分析
Hypertension
Keshan disease areas
Analysis