目的 探讨宁夏农村老年居民原发性高血压分布及控制情况,为宁夏农村老年居民原发性高血压的科学管理提供依据.方法 2014年10月18日-11月5日,采用横断面的调查方法,在宁夏青铜峡市和平罗县分别选取60个行政村.在每个行政村的农村居民健康电子档案中,选取25例有脑卒中发病史或年龄≥60岁的高血压患者进行体格检查和问卷调查,最终对3790例年龄≥60岁原发性高血压患者进行数据分析.结果 宁夏农村老年居民原发性高血压患者平均收缩压为(165.7±19.5)mmHg,平均舒张压为(94.6±l3.2)mmHg,收缩压平均水平女性高于男性(P＜0.001),舒张压水平随着年龄增长呈下降趋势(P＜0.001),随着BMI增长呈上升趋势(P＜0.001).高血压控制率为3.5％,男性(4.3％)高于女性(2.8％),但随着年龄和BMI增长并无显著的变化(P＞0.05).结论 宁夏农村老年居民原发性高血压患者的收缩压女性高于男性,舒张压水平随着年龄增长呈下降趋势,随着BMI增长呈上升趋势;血压控制率明显低于全国老年人血压控制率的水平.%Objective To investigate the distribution and control rate of hypertension,and to provide evidence for scientific management of hypertension in elderly population in rural areas of Ningxia.Methods A cross-sectional study was carried out in Qingtongxia County and Pingluo County of Ningxia.Sixty villages were selected from each county,totally one hundred and twenty villages.Thirty-five patients with a stroke history or patients aged ≥ 60 years old with hypertension were selected from the electronic health records in each village and interviewed with an eligible questionnaire and physical examination.We only chose patients aged ≥ 60 years old with hypertension to finish data analysis,3790 patients totally.Results The mean systolic blood pressure (SBP) was(165.7 ± 19.5)mmHg and mean diastolic blood pressure (DBP) was(94.6 ± 13.2)mmHg.SBP mean reading of females was significantly higher than that of males (P＜0.001).DBP mean reading decreased significantly with age(P＜0.001),but increased significantly with body mass index (BMI)(P＜0.001).The control rate of hypertension was 3.5％.This rate in males(4.3％)was significantly higher than that in females(2.8％)but there was no significant change with the increase of age and BMI(P＞0.05).Conclusion Blood pressure was still high and the control rate had remained at a low level in elderly population in rural areas of Ningxia.
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