摘要
目的 用 1999年WHO ISH的高血压诊断标准和 1978年WHO标准对高血压患病率进行探讨。方法 全面体检 ,除外继发性高血压病 ,血压按规定由专人测量、记录 ;2 0岁以上按每 10岁一个年龄组进行统计 ,结果进行 χ2 检验。结果 按 1978年WHO标准高血压患病率为 13 2 8% ,高于 1980年、1991年全国普查患病率的 9 1%、11 2 6 %。按 1999年WHO ISH标准高血压患病率为 2 3 35 % ,其中男性组患病率为 2 8 2 4 % ,女性组为 16 75 % ,男性患病率明显高于女性 (P <0 0 0 1) ;各年龄组患病率亦男性组高于女性组 (P <0 0 0 1) ,均随增龄而增高 ,4 0岁以上更显。边缘性高血压者亦随增龄而增加 ,到 80岁组有下降。收缩压等于 14 0mmHg组 ,女性患病率高于男性 (P <0 0 5 ) ,但Ⅲ级高血压组则相反 (P <0 0 5 )。结论 1999年WHO ISH标准的高血压患病率明显高于 1978年WHO标准的患病率 ,高血压诊断标准的放宽 ,有利于及早防治 ;对边缘性高血压者 。
Objective To study hypertension morbidity according to WHO/ISH(1999) and WHO(1978) diagnostic standards.Methods To conduct general physical examination for government functionary except for secondary hypertension. A person is specially designated for measuring the blood pressure.Results The hypertension morbidity is 13.28% according to WHO standards (1978), which is higher than 9.1% and 11.26% in 1980 and 1991 respectively. The hypertension morbidity is 23.35% according to WHO/ISH (1999). The morbidity of the men group which is 28.24% is significantly higher than that of the women group which is 16.75% ( P <0 001). The morbidity increases with age. This is obvious for government functionary of over 40 years of age. The marginal hypertension also increases with age, but the morbidity of 80 year old group falls. In the group whose systolic blood pressure is 140 mmHg, the morbidity of women is higher than men ( P <0.05). But this is just the opposite in the hypertension Ⅲ grade ( P <0.05). Conclusion The hypertension morbidity according to WHO/ISH (1999) standards is higher than that according to WHO (1978) standards. Relaxation of hypertension diagnostic standards is conducive to early prevention and treatment. The margin hypertension should be properly cured according to risks.\;
出处
《海军总医院学报》
2002年第2期68-71,共4页
Journal of Naval General Hospital of PLA
关键词
高血压
公务员
患病率
Hypertension
Government functionary
Morbidity
