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目的 :了解新疆牧区高血压流行现状并分析其高发因素 ,为牧区心血管病的防治工作提供依据。方法 :应用WHO MONICA方案 ,采取整群抽取随机抽样的办法针对新疆和丰县牧区 3 0岁以上哈萨克族和蒙古族男女牧民 10 2 2人进行高血压流行病学调查。结果 :该人群平均收缩压 14 3 .5± 3 1.9mm Hg;舒张压 89.5± 17.9mm Hg;高血压的检出率为5 5 .0 9% ,其中临界高血压和重度高血压分别占 10 .3 6%和 2 0 .73 % ,高血压的患病率随年龄增高而明显增高 ,且患病年龄明显前移 ;高血压组平均体重指数 (BMI)、总胆固醇 (TC)、低密度脂蛋白胆固醇 (LDL-CTG)、甘油三脂 (TG)的水平明显高于正常血压组 ,高血压组中男性的吸烟率明显高于正常血压组 ,平均每日饮酒量也有高于正常血压组的倾向。结论 :新疆和丰县牧区为高血压的高发区 ,高血压与高吸烟率、高饮酒量、高体重指数以及血脂紊乱等心血管病的危险因素密切相关
Objective: To understand the prevalence of hypertension in pastoral areas of Xinjiang and analyze its high incidence of factors, to provide evidence for the prevention and treatment of cardiovascular disease in pastoral areas. Methods: The WHO MONICA program was used to carry out an epidemiological investigation of hypertension in 10,22 Kazak and Mongolian herdsmen and herdsmen, herdsmen and herdsmen in the pastoral areas of Hefeng County in Xinjiang using a random sampling method. Results: The average systolic blood pressure of the population was 14 3.5 ± 3.1.9 mm Hg and the diastolic blood pressure was 89.5 ± 17.9 mm Hg. The detection rate of hypertension was 55.09%, of which the critical hypertensive and severe hypertension accounted for 10 .3 6% and 20.73% respectively. The prevalence of hypertension was significantly increased with age and the age of onset was significantly advanced. The mean body mass index (BMI), total cholesterol (TC), low density The levels of LDL-CTG and TG were significantly higher than those in normotensive group. The prevalence of smoking among men in hypertensive group was significantly higher than that in normotensive group, and the average daily alcohol consumption was also higher than that in normotensive group Propensity. Conclusion: The pastoral area of Hefeng County is a high incidence area of hypertension. Hypertension is closely related to the risk factors of cardiovascular diseases such as high smoking rate, high alcohol consumption, high body mass index and dyslipidemia