目的了解社区现症高血压病人的情况并进行临床分析和制定防治策略。方法进行登记建卡、填写一般情况、询问病史、了解危险因子、测算体重指数、检查血压、心电图、胆固醇、血糖、尿蛋白等，然后进行临床分析。结果绝大多数存在一个以上危险因子，５０岁～６９岁组高血压人数最多，６０岁以上收缩压增高明显。尤其是单纯收缩期高血压，与５９岁以下比较有显著性差异（Ｐ＜０．００５）。靶器官损害检出率达６１．５％，并显示心＞脑＞肾，（Ｐ＜０．００５）按ＪＮＣ－Ⅵ的高血压危险度分层，大部分要用药物治疗。结论高血压防治不应忽视各种危险因子的消除，对老年人收缩期高血压应给予高度重视。积极有效控制高血压对降低心脑血管发病率有重要意义。防治策略可参照危险度分层法，并应个体化，开展社区防治可获较好效果。 Objective To understand the current situation of hypertensive patients in the community and conduct clinical analysis and formulate prevention and treatment strategies. METHODS: Cards were registered, general conditions were filled, history was asked, risk factors were understood, body mass index was calculated, blood pressure, ECG, cholesterol, blood sugar, urinary protein, etc. were performed. Clinical analysis was then performed. Results Most of the patients had more than one risk factor. The number of people with hypertension from the age of 50 to 69 years was the highest, and the systolic blood pressure increased significantly above 60 years of age. In particular, systolic hypertension was significantly different from those below 59 (P<0.005). The detection rate of target organ damage was 61.5%, and showed heart> brain> kidney, (P <0.005) stratified by the risk of hypertension of JNC-VI, and most of them were treated with drugs. Conclusion The prevention and treatment of hypertension should not ignore the elimination of various risk factors. The elderly should pay high attention to systolic hypertension. Active and effective control of hypertension is of great significance in reducing the incidence of cardiovascular and cerebrovascular diseases. Control strategy can be based on risk stratification method, and should be individualized, and community control can achieve better results.