摘要
目的分析我国老年人高血压的患病率,以及知晓、治疗和控制状况。方法使用2012-2015年全国高血压分层多阶段随机抽样横断面调查资料[国家"十二五"科技支撑计划项目"中国重要心血管病调查及关键技术研究"]进行分析,其中老年人(年龄≥60岁)134 397人。老年人高血压定义为平均收缩压≥140和(或)舒张压≥90 mm Hg或近2周内服用降压药物;单纯收缩期高血压定义为收缩压≥140和舒张压<90 mm Hg,单纯舒张期高血压定义为收缩压<140和舒张压≥90 mm Hg,血压控制定义为收缩压<140和舒张压<90 mm Hg。结果我国老年人高血压患病率为53.24%(约9450万人),单纯收缩期高血压患病率为30.33%(约5380万人),单纯舒张期高血压患病率为1.32%(约234万人),单纯收缩期高血压占老年高血压总人数的56.95%。城市和农村居民的老年高血压患病率比较,差异无统计学意义(53.38%比53.20%,P=0.904),但女性高于男性(55.28%比51.14%,P<0.001)。在老年高血压患者中,知晓率57.08%,治疗率51.35%,控制率仅18.20%。结论老年人高血压知晓、治疗和控制率有所提高,但整体仍低。
Objective To evaluate the prevalence, awareness, treatment and control rate of hypertension among elder population in China. Methods Data from a cross-sectional stratified multistage random sampling survey conducted from 2012 to 2015 were used to analyze. Finally, a total of 134 397 participants aged ≥60 years were enrolled in our study. Hypertension was defined as systolic blood pressure(SBP)≥140 mm Hg, and/or diastolic blood pressure(DBP)≥90 mm Hg, and/or use of antihypertensive medicine within 2 weeks. Among participants with hypertension, control rate of hypertension was defined as the participant presenting as hypertensive, but with SBP less than 140 mm Hg and DBP less than 90 mm Hg. Isolated systolic hypertension was defined as SBP greater than 140 mm Hg and DBP less than 90 mm Hg. Isolated diastolic hypertension was defined as SBP less than 140 mm Hg and DBP greater than 90 mm Hg. Results The prevalence of hypertension among the elderly in China was 53.24%(estimate 94.5 million approximately). Besides, the prevalence of isolated systolic hypertension and isolated diastolic hypertension were 30.33%(estimate 53.8 million approximately) and 1.32%(estimate 2.34 million approximately), respectively. Furthermore, 56.95% of the elderly with hypertension were isolated systolic hypertension. There was no significant difference in hypertension prevalence between urban and rural(53.38% vs.53.20%, P=0.904). The prevalence of hypertension in female was significantly greater than male(55.28% vs. 51.14%, P<0.001). Among hypertensive patients, the awareness, treatment and control rate of hypertension were 57.08%, 51.35% and 18.20%, respectively. Conclusion Though there has been a remarkable improvement in awareness, treatment and control of hypertension among the elderly, the rates remain low.
作者
李苏宁
陈祚
王增武
王馨
张林峰
董莹
郑聪毅
王佳丽
亢玉婷
田野
邵澜
朱曼璐
高润霖
LI Su-ning;CHEN Zuo;WANG Zeng-wu;WANG Xin;ZHANG Lin-feng;DONG Ying;ZHENG Cong-yi;WANG Jia-li;KANG Yu-ting;TIAN Ye;SHAO Lan;ZHU Man-lu;GAO Run-lin;for the China Hypertension Survey investigators(Fuwai Hospital,Chinese Academy of Medical Sciences,Department of Community Prevention and treatment,National Cardiovascular Center,Beijing 102308;Department of Cardiology,Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing 102308)
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2019年第2期140-148,共9页
Chinese Journal of Hypertension
基金
国家"十二五"科技支撑计划项目"中国重要心血管病调查及关键技术研究"(2011BAI11B01)
公益性行业科研专项"西藏与新疆地区慢性心肺疾病现状调查研究"(201402002)
关键词
高血压
老年人
中国
患病率
hypertension
elderly
China
prevalence
