摘要
目的 进一步分析我国人群血压水平分类、高血压患病率和正常高值的比例 ,为进一步调查提供可比性资料。方法 使用 1991年高血压抽样调查资料 ,依照 1999年世界卫生组织 /国际高血压联盟对血压水平的分类标准进行分类 ,资料中组间率的检验使用 χ2检验。 结果 1991年调查正常血压者 (包括理想血压 )在 15岁及以上人群中占 77.2 1% ,其中理想血压在正常血压中占 75 .0 7%和在人群中占 5 7.96 %。血压在正常高值的人数占 9.5 9%。 1级 (轻度 )、2级 (中度 )和 3级 (重度 )高血压总患病率是 13.19% ,其中 1级是 8.4 7%、2级和 3级分别是 3.1%和 1.6 2 %。 1级高血压中亚组患病率是 7.4 8% ,其占 1级高血压患者的 88.32 %。单纯性收缩期高血压 (ISH)的患病率是 5 .17% ,其中亚组占 5 2 .0 3%。 1级高血压和 2级高血压合计患病率是 11.5 7% ,占高血压总患病率的 87.7%。女性正常血压所占百分率高于男性 (P <0 0 1) ,而正常高值和 1级高血压百分率则低于男性 (P <0 0 1)。人群中女性ISH的患病率也较男性偏高 (P <0 0 1)。结论 在我国高血压患者中轻、中度高血压最常见 ,占高血压患者的 87.7%。有效地预防和治疗轻、中度高血压是卫生健康事业所面临的重要任务之一。
Objective To study the definitions and classification of blood pressure levels in China. Methods A cross sectional study for definitions and classification of blood pressure levels was designed and conducted within the data of the third national survey of blood pressure in 1991. The definitions and classification of blood pressure levels were defined according to the new criteria of WHO/ISH guidelines in 1999. χ 2 test was used for data comparison. Results The rate of normal blood pressure was 77.21% in the general population at age ≥15 years, and optimal blood pressure comprised 75.07% of all normal blood pressure subjects. The rate of high normal was 9.59% in the population. A total prevalence of hypertension was 13.19%, and in detail, 8.47%, 3.19%,and 1.62% for grade 1, 2 and grade 3 respectively. The prevalence of grade 1 subgroup was 7.48%, and it comprised 88.32% of the grade 1 hypertension. 87.7% of hypertension patients were in the range of mild and moderate hypertension. The prevalence of isolated systolic hypertension (ISH) was 5.17%, and the proportion of subjects with ISH subgroup was one half in ISH. The rate of normal blood pressure was higher among females than males, while the rate of high normal and grade 1 was lower among females than males. The prevalence of ISH was higher among females than males, too. Conclusion Results showed that mild and moderate hypertension are the overwhelmingly dominant subgroups of hypertension (87.7%) in the Chinese population. Successful treatment of mild moderate hypertension in general, represents an important public health challenge that require more aggressive efforts at management.
出处
《高血压杂志》
CSCD
2002年第3期271-273,共3页
Chinese Journal of Hypertension
基金
卫生部批准项目 (1991年 2月 )
