【摘要】 背景　高血压为最常见最重要危险因素 ,随生活方式改变 ,近年发病率进一步增加 ,本研究目的是了解当前患病状况及其有关危险因素变化 ,为更好防治提供依据 ,本研究为危险因素综合研究系列中有关高血压部分。方法　整群抽样 ,72 88人 ,生活状况可反映成都地区平均水平。居住 3年以上 ,年龄 18～ 80岁 ,调查一般人口统计学指标 ,烟酒嗜好 ,人均收入 ,个人及家族史 ,查体 ,血压 ,心率 ,体重指数及血液有关生化参数。结果　本组人群高血压标化患病率为 15 4 5 % ,男 16 86 % ,女 13 87% ,一级高血压患病率 8 4 8% (占高血压总数 5 4 88% ) ,二级 5 5 4 % (占高血压35 86 % ) ,三级 1 4 3% (占高血压 9 2 6 % ) ,较 79年 (6 39% ) ,91年 (9 0 7% )分别增加 2 4及 1 7倍 ,较 91年净增 14万余人 ,总患病率男性高于女性。人群平均血压水平及高血压随年龄增加 ,4 0岁后更明显。高血压伴发糖尿病 ,中风 ,心肌梗塞的比值比为正常人 3 0 6 ,3 4 1,2 2倍 ,并伴发高的高血脂 ,高尿酸患病率 ,经单变量及多变量相关分析 ,收缩与舒张压与多种危险因素相关。与高患病率相对 ,治疗率 (2 2 6 % ) ,控制率 (11 9% )很低 ,基层用药 ,复降片 ,罗布麻及中成药占 6 5 4 %。结论　成都地区近 10年高血压患病率进一步增加更多还原

【Abstract】 The incidence rate of hypertension was increased significantly during last ten years This report is one of a series studies regarding the regarding the cardiovascular risk factors in Chengdu population in 1999～2000 Methods A cohort of 7288 residents of Chengdu were sampled in group, aged 18～80 years The demographic data of the inhibitants,physical and laboratory examinations were investigated Results Prevalence rate of hypertension in this population(adjusted with age and sex) was 15 5%(male 16 9%, female 13 9%), the 1st stage hypertension (BP≥140/90,<160/100) was 8 48%, second stage 25 5%, and third stage 1 4% \ Compared with the prevalence of hypertension(Chengdu) in 1979(6 4%) and in 1991(9 07%), The prevalence rate of hypertension in this survey was increased by 2 4 and 1 7 folds separately,which can be translated that the absolute increases in hypertension patients were more than 140,000 in Chengdu down town The mean BP in this cohort of population was 113/75 mmHg, and increased with age The prevenlence of diabets, stroke and myocardial infarction in hypertensives were 3 06, 3 41 and 2 2 fold higher The awareness,therapeutic and control rates in this survey were 37 7%, 22 6%, 11 9%, respectively In the treated patients the drugs were as follow: calcium antagonists 26 2%(nifedipine 16 2%), β blockers(10 7%), ACE inhibitors(0 2%), diuretics(2 7%), others(65 4%) Conclusion In last two decades, the prevalence of hypertension in Chengdu was increased obviously It was associated with increasing of other risk factors, and with a low awareness,therapeutic, control rates更多还原