中文摘要：

目的了解农村中老年人群高血压合并糖尿病及其相关心血管并发症的流行情况。方法采用整群抽样方法对北京市房山区3个乡镇的40岁及以上人群进行问卷调查和医学体检。结果农村中老年人群的高血压、糖尿病和高血压合并糖尿病患病率分别为57.6%、11.3%和7.9%,男性为58.8%、10.5%和7.0%,女性为57.0%、11.6%和8.3%,女性高血压合并糖尿病患病率高于男性。高血压合并糖尿病患者的高血压知晓率、治疗率和控制率分别为71.1%、44.0%和9.9%。无高血压无糖尿病、仅患糖尿病、仅患高血压以及高血压合并糖尿病人群的脑卒中患病率分别为2.9%、5.2%、7.9%和12.9%,冠心病患病率分别为16.1%、26.8%、39.0%和46.0%。结论农村40岁及以上人群高血压合并糖尿病及相关心血管并发症的患病率较高,且高血压控制情况处于较低水平。

英文摘要：

Objective To investigate the prevalence of diabetes-hypertension and related cardiovascular complications of these comorbid conditions.Methods Data were collected by physical examinations and an administered questionnaire from people older than 40 years old in rural areas of Fangshan district,Beijing City.Analysis of variance,chi-square test and logistic regression model were used.Results Of the 8 642 subjects,the prevalence rates of diabetes mellitus,hypertension and both conditions were 57.6%,11.3% and 7.9%,respectively.The prevalence rate of hypertension and diabetes together was higher among women than men.The rates of awareness, treatment and control of hypertension among people affected by both hypertension and diabetes were 71.1%,44.0% and 9.9%,respectively.The prevalence rates of stroke among people who had neither hypertension nor diabetes,hypertension only,diabetes only and two diseases together were 2.9%,5.2%,7.9% and 12.9%,respectively,while 16.1%,26.8%,39.0% and 46.0% of coronary heart disease.Conclusions The people who were 40 years old and above have a high prevalence of hypertension and diabetes together,which are important risk factors for cardiovascular diseases,tight control of the blood pressure should be needed.