【摘要】 [目的]分析云南省农村居民高血压的患病现状及经济负担。[方法]在云南省丽江市古城区采用整群抽样方法对1519名35岁以上的村民进行现场问卷调查和体检,获取高血压的患病情况及经济负担情况。[结果]该地村民高血压患病率为29%,其中男性高血压患病率为36.3%,女性为24.2%,男性高血压患病率高于女性(P﹤0.05)。高血压患病率随年龄的增加而上升。该地农村居民高血压患病的知晓率、控制率和治疗率分别为34.3%、12.5%和5.1%。高血压住院和门诊患者人均直接经济负担分别为3198元和74.5元,人均间接经济负担为98.9元,人均无形经济负担为2750元。该地高血压患者总的疾病经济负担为1820万元。[结论]应加强农村居民高血压的健康知识教育,提高知晓率。采取措施降低高血压的患病率,以减轻农民的经济负担。更多还原

【Abstract】 [Objective]To measure the prevalence and economic burden of hypertension in a rural area of Yunnan province. [Methods] Cluster sampling method was used to select 1519 residents aged over 35 years from rural Gucheng district of Lijiang, Yunnan province. Information was obtained by questionnaire survey and blood pressure measurement. [Results] The overall prevalence rate of hypertension was 29.0% in the area. The Males had higher prevalence rate of hypertension than that of the females (36.3% vs. 24.2%) . The prevalence rate of hypertension increased with age. The rates of awareness, control and treatment of hypertension were 34.3%、 12.5% and 5.1%, respectively. The direct economic burdens per capita of hypertension for the inpatients and outpatients were 3 198 yuan and 74.5 yuan, whereas the indirect and intangible economic burdens per capita of hypertension were 98.9 yuan and 2 750 yuan, respectively. The total economic burden of hypertension was 18 206 405 yuan in the area. [Conclusion] It is necessary to increase knowledge and awareness of hypertension. Strategies that aim to reduce the prevalence of hypertension are useful to alleviate the economic burden of this disease.更多还原