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目的调查连云港市赣榆、东海二县乡镇居民的高血压病知晓率、服药率和控制率(“三率”),为制定有关卫生政策、更好地开展慢性非传染性疾病(慢病)防控工作提供依据;同时,评估一项正在进行的预防脑卒中综合干预临床研究对以上“三率”的影响。方法选择赣榆县、东海县农村社区45～75周岁居民作为调查对象,体检和问卷相结合,进行高血压病“三率”的调查,并比较参与临床研究的乡镇(干预乡镇)与未参与临床研究的乡镇(非干预乡镇)“三率”的差异。结果本研究共调查4 618人,其中高血压病患者2 784人,调查人群高血压病“三率”分别为64.7%、44.7%和7.3%。干预乡镇与非干预乡镇比较,其高血压病知晓率(67.9%vs 62.0%,OR=1.3,P=0.001)、服药率(48.1%vs 41.8%,OR=1.3,P=0.000 9)、控制率(8.8%vs 6.1%,OR=1.5,P=0.006 7)均有提高,且对年龄、性别和地区(县)校正后结果仍成立。结论调查人群高血压病知晓率、服药率显著高于“九五”期间我国中年人群的平均水平,控制率略高于“九五”平均水平。目前进行的脑卒中预防综合干预研究提高了参与乡镇的高血压病“三率”。
Objective To investigate the prevalence rate of hypertension, taking rate and control rate of hypertension in towns and villages in two counties of Ganyu and Donghai of Lianyungang City in order to formulate relevant health policies and better implement chronic non-communicable diseases Disease) prevention and control work to provide the basis; the same time, to assess an ongoing comprehensive prevention of stroke clinical research on the above “three rate” impact. Methods Residents of 45 to 75 years old in rural community of Ganyu County and Donghai County were selected as the survey subjects. The physical examination and questionnaire were combined to investigate the prevalence of hypertension and “three rates” Differences in township (non-intervention town), “three rates” not involved in clinical research. Results A total of 4 618 people were investigated in this study, including 2 784 hypertensive patients and 64.7%, 44.7% and 7.3% hypertensive patients, respectively. The rates of awareness of hypertension (67.9% vs 62.0%, OR = 1.3, P = 0.001), medication rate (48.1% vs 41.8%, OR = 1.3, P = 0.000 9) The rates (8.8% vs 6.1%, OR = 1.5, P = 0.006 7) improved, and the results of age, gender and region (county) were still validated. Conclusion The rate of awareness and rate of hypertension in the surveyed population was significantly higher than the average level of middle-aged Chinese population during the “95” period, with the control rate slightly higher than the average level of “95%”. The ongoing comprehensive study of stroke prevention has raised the prevalence of hypertension in rural areas.