摘要
1991年山东省高血压流行病学调查是全国高血压流行病学调查的一部分 ,由 5个城市和 5个农村点组成 ,每点调查 15岁及以上成人约 40 0 0人 ,共调查 40 2 6 9人 ,应答率为 85 .1%。收缩压 (SBP)为Korotkoff第 1音 ,舒张压 (DBP)为Korotkoff第 5音 ,测 3次求其均值代表每个个体血压值。高血压定义为SBP≥ 16 0和 /或DBP≥ 95mmHg ,临界高血压定义为SBP 14 1～ 15 9和 /或DBP 91～ 94mmHg ,结果表明全省高血压标化患病率为5 .5 8% ,其中男性为 5 .92 % ,女性为 5 .19% ,城市为 6 .0 6 % ,农村为 5 .0 8% ,全省临界高血压标化患病率为 6 .0 2 % ,其中男性为 6 .6 0 % ,女性为 5 .48% ,城市为 6 .11% ,农村为 5 .95 %。与山东省 1978～ 1980年调查的资料相比 。
The data of hypertension epidemiological survey is a part of nation wide sample screening of hypertension.Blood pressure(BP) was measured using a memory sphygmomanometer with a cuff of size 12 cm×23 cm.After at least 5 minutes of rest,three measurements were taken with standardized position and rate of deflation (2 mmHg per second).For systolic blood pressure(SBP)the first Korotkoff sounds were used,and for diastolic blood pressure (DBP) the fifth Korotkoff sounds were used.Hypertension was defined as a condition in which BP is up to 160/95 mmHg with 3 measurements,as recommended by the World Health Organization Expert Committee Meeting held in 1978.BP between 160/95 and 140/90 mmHg was designated as “borderline hypertension”.The people screened were adults above 15 years of age.Five cities and five counties were selected at randomization in Shandong.Population screened in each area covered about 4000 inhabitants of different age groups (from 15 to 80 + yrs ) in both sexes. Age adjusted prevalence rates were obtained by using the percentile of Chinese population of 1964 as standard.Based on these criteria,the adjusted prevalence rate of hypertension in the sample was 5.58%,of which 5.92% were in male and 5.19% in female;6.06% were in the city group and 5.08% in the rural group.The adjusted prevalence of borderline hypertension was 6.02%,of which 6.6% were in male and 5.48% in female; 6.11% were in the city group and 5.95% in the rural group.The prevalence rate of hypertension increased in this survey compared with that in the 1980 survey.
关键词
高血压
流行病学
sampling survey
hypertension
Shandong Province
