西藏高海拔地区居民高血压患病率、治疗率及控制率现况研究
Prevalence, treatment, and control of hypertension at the high altitude area in Tibet
赵兴山 1翟金金 1赵一飞 2鲁尧 兰永昊 1巴桑 3李康 4格桑罗布 4武阳丰5
作者信息
- 1. 100009 北京积水潭医院北京大学第四临床医学院心内科
- 2. 北京大学乔治健康研究所
- 3. 西藏当雄县人民医院
- 4. 西藏自治区人民医院
- 5. 北京大学临床研究所北京大学公共卫生学院
- 折叠
摘要
目的:此研究主要目的是调查西藏海拔4 000米以上地区藏族居民成年人高血压的患病率、治疗率及控制率.方法:本研究选择西藏当雄县平均海拔4 300m的34个生产组,纳入所有18岁以上居民,通过入户调查测量血压,登记有关信息及高血压治疗情况.使用电子血压计测量血压.高血压定义为动脉收缩压≥140mmHg(1mmHg =0.133kPa),舒张压≥90mmHg,患者既往有高血压史,目前正在用抗高血压药,血压虽然低于140/90mmHg,亦应诊断为高血压.结果:本研究共纳入658户牧民,1 565人.基线平均年龄(44.3±16.3)岁,男性占44.7％.平均收缩压为(131.7±24.6)mmHg;平均舒张压为(81.7±15.4)mmHg.高血压患病率为37.4％.在高血压患者中,高血压2级者占7.7％,高血压3级者占8.6％.高血压治疗率33.3％、控制率11.3％.结论:根据我们对西藏当雄县18岁以上的居民研究发现,西藏地区高血压患病率高,且高血压治疗率、控制率均低.
Abstract
Objective:To investigate the prevalence,treatment and control of hypertension in the adult living in the pasturing area above the altitude of 4 000 meters in Tibet.Methods:The investigation included 34 production groups in Dangxiong County,an area at 4 300 meters altitude in Tibet.The target population is over 18 years old,and information was collected through in-person interviews.We collect the blood pressure data by using electronic sphygmomanometer.Hypertension was defined as SBP ≥ 140 mmHg and/or DBP ≥90 mmHg,or antihypertensive medication use in the past 2 weeks.Results:A total of 1 565 adults,aged (43.45 ± 16.25,48.7％ male) were recruited.The prevalence of hypertension was 37.4％ of the survey population.The average systolic blood pressure is (131.7 ±24.6)mmHg;and the average diastolic blood pressure is (81.7 ± 15.4) mmHg.Of note,7.7％ of those with hypertension had stage 2 hypertension and 8.6％ of those with hypertension had stage 3 hypertension.Among those with hypertension,only 33.3％ were taking medication,and only 11.3％ had controlled BP.Conclusion:According to our survey in Dangxiong,Tibetan adults aged 18 years and older living at high altitudes had high BP and prevalence of hypertension with low treatment,and control.
关键词
高血压/患病率/治疗率/控制率/西藏Key words
Hypertension/Prevalence rate/Treatment rate/Control rate tibet引用本文复制引用
基金项目
国家科技支撑计划课题(2013BAI05B04)
出版年
2017
NETL
NSTL
维普
万方数据