| Background:Hypertension is one kind of severely impair people health common chronic cardiovascular illness sickness, the long-term development may make intentionally, the brain, the kidney and so on many organ’s harm, its high disease incidence rate, high crippling rate and the high mortality rate brings to various countries’attention more and more. In addition, the normal high value blood pressure and hypertension as well as other heart blood vessel of brain illness sickness relations are close, therefore, strengthens to the normal high value blood pressure epidemiology research also has the very important theory and the practical significance. Along with our country society, the economical development, the countryside area’s population structure, the economic level, the behavior life style and the meals pattern and so on is changing, thus causes the countryside area hypertension prevalence rate level to rise rapidly, falls behind the countryside area, although the economic level enhances, but health consciousness not along with it enhancement, urban and the countryside prevalence rate disparity reduces gradually, hypertension has become affects the countryside crowd health main illness to get sick one. Our country is one has900,000,000agricultural population large agricultural nation, deep research countryside crowd hypertension is sick the condition and the hazard factor is completes the primary medical care and everybody enjoys one of health work important tasks. This research application description epidemiology research’s method, discusses the Shanghai countryside resident normal high value blood pressure and hypertension’s epidemiology distribution characteristic and the related influencing factor, provides the scientific basis take the time as hypertension’s integrated control. Research goal:This research has analyzed some province some area countryside resident blood pressure horizontal hypertension’s epidemiology distribution through hypertension epidemiology inventory survey research’s method, has provided the scientific basis for the high-risk group and the monitor crowd’s determination, suited the countryside area for the formulation hypertension to prevent and control the strategy truly to provide the scientific basis. In fell behind the countryside area using the big sample to describe hypertension’s epidemiology distribution as well as the pharmacological treatment situation investigation, discussed hypertension’s hazard factor, had understood promptly along with the rural economy, the social development, the change which the countryside resident blood pressure level, hypertension epidemiology distributed and the related influencing factor occurred, had extremely importantly to the province in and the national other countryside area hypertension epidemiology research profits from the significance.1uses the epidemiology the investigation and study method, through the baseline investigation understood some province some area countryside hypertension gets sick popular present situation.2. understood that this area countryside hypertension sickness prevention and control present situation, knows including the patient rate, taking medicine rate and inverse amplification factor.3. understands this local the countryside patient voltage dropping medicine compliance.4. Investigates primary hazard factor epidemiology which this local hypertension is sick, suits this local for the formulation the health policy and the interventionmeasure:The investigation object Shanghai peripheral countryside area resident, the request investigation object participates voluntarily, and can the collaborator. Uses the multi-stage stratified sampling the method, in this area draw an item at random14villages (street). After the examination, its social economy condition and so on does not have statistics significance with the entire local difference (P>0.05). Each investigation according to the random sampling principle, the draw an item at random1township (town), each villages and towns draw an item at random1village, each village extracts500people insufficient according to the production group, the population500to other production group or the neighboring village according to the same population characteristic and the same level number supplemented that altogether investigates7000people, above18years old resident6120people. After statistics examination, not the physical examination crowd and the physical examination crowd in crowd characteristics and so on age, sex the non-statistics difference, the sample have the representation.The research results:1people in the survey of gender, age, were investigated in14villages (street), a total of7000people investigated, of which18residents over the age of6120people, including3636males,59.4%females,2484people, accounting for40.6%; the average age is51.3years old (see table2-L,2-2).2based on the risk factors of hypertension and hypertensive disease knowledge, the main analysis was surveyed on the awareness of risk factors, respondents, on seven risk factors (genetic, age, obesity, lack of exercise, smoking, Alcohol consumption and high salt intake) witting rate is respectively7.2%,8.2%, 22.4%,10.2%,2.1%,8.3%and2.2%.In addition to the "age" of awareness, to the other6types of risk factors between the awareness rate had no significant difference (2-3).The3investigators, hypertensive patients in24.2%and normal blood pressure in15.1%patients with known oneself blood pressure values, with statistical significance (P<0.005).In patients with essential hypertension, males of their own blood pressure values awareness rate slightly higher than the female (male26.1%, female23.5%, P=0.893); in the normal blood pressure, male awareness rate lower than women (male14.6%, female16.9%, P=0.0564).Only4.3%of the patients with hypertension and2.5%normotensive persons know the normal values of blood pressure (SBP/DBP<140/90mmHg)(P=0.543).Hypertensive patients with normal blood pressure values, male awareness rate (5.1%) was slightly higher than that of the female (3.4%)(P=0.3808). Normal blood pressure, male witting rate (1.9%) than women (2.8%)(P=0.4094).The4survey of patients with hypertension drug delivery in different ways, mainly concentrated in the following medication, mainly administered alone as the main way of administration, which the ACEI class of drugs (20.35%) than in the other two kinds of drugs taking more (P=0.012), with statistical significance, administered alone,2kinds of drugs with a major drug delivery.Research conclusions:. According to the results of the study suggested that the government departments to develop in response to backward rural areas of hypertension prevention and control strategies and measures, strengthen the backward rural residents hypertension prevention knowledge publicity, promote a healthy lifestyle.4.2recommendations for disease prevention and control institutions established hypertension, diabetes and obesity are common monitoring system, according to the health to determine the level of different monitoring frequency, strengthen the administration to the patient, prevent cardio-cerebral vascular disease and other complications. |
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