Ye Wen-ling, Ma Jie, Fan Xiao-hong, Sun Ying, Meng Qing-yan, Fu Ying, Zhao Lin, Zhang Jie, Cui Rui-gang, Zhang You, Jin Da-qing, Li Xue-mei
Department of Neurology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China2Health Bureau of Pinggu District,Beijing 101200,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2015 Oct;37(5):528-33. doi: 10.3881/j.issn.1000-503X.2015.05.007.
To analyze the composition and control status of chronic diseases among rural residents in a Beijing suburb district.
Rural residents aged 35 years or older were investigated by stratified random sampling in Pinggu District, Beijing. Each participant received questionnaire-based survey,physical examination,and laboratory tests including routine blood test,urine albumin creatinine ratio (ACR), liver and renal function,serum lipid, fasting blood glucose, and glycosylated hemoglobin.
A total of 10 385 residents completed all items. Cerebrovascular disease was leading cause of hospitalization (accounting for 14.4%) and its incidence in the population was 9.6%. The incidences of hypertension,hyperlipidemia,diabetes mellitus,and gout/hyperuricemia,which were the main compositions related with metabolic diseases,were up to 64.4%,42.5%,24.4%, and 9.0%, respectively. The disease onset was significantly related with the age. The incidence of hypertension was gradually elevated with the increasing of age,while the peak age was 55-64 years for diabetes and 35-44 years for gout/hyperuricemia. The awareness rate of hypertension,diabetes,and chronic kidney disease was 60.2%, 55.1%,and 6.0%,respectively. The control rate of chronic disease was 19.2% and 28.8% in hypertensive and diabetic patients, respectively.
Cerebrovascular diseases and metabolic-associated diseases are the main chronic diseases affecting rural residents in Pinggu district, Beijing. The awareness rate and control rate of chronic diseases needs to be further enhanced by strengthening health education and improving the community medical service.
分析北京某郊区农村居民慢性病的构成及控制状况。
采用分层随机抽样方法对北京市平谷区35岁及以上农村居民进行调查。每位参与者接受问卷调查、体格检查以及实验室检查，包括血常规、尿白蛋白肌酐比值（ACR）、肝肾功能、血脂、空腹血糖和糖化血红蛋白。
共有10385名居民完成了所有项目。脑血管疾病是住院的主要原因（占14.4%），其在人群中的发病率为9.6%。高血压、高脂血症、糖尿病和痛风/高尿酸血症是与代谢性疾病相关的主要构成部分，其发病率分别高达64.4%、42.5%、24.4%和9.0%。疾病发病与年龄显著相关。高血压发病率随年龄增长逐渐升高，而糖尿病的发病高峰年龄为55 - 64岁，痛风/高尿酸血症为35 - 44岁。高血压、糖尿病和慢性肾脏病的知晓率分别为60.2%、55.1%和6.0%。高血压患者和糖尿病患者的慢性病控制率分别为19.2%和28.8%。
脑血管疾病和代谢相关疾病是影响北京市平谷区农村居民的主要慢性病。需要通过加强健康教育和改善社区医疗服务来进一步提高慢性病的知晓率和控制率。
