JAMA:中国高血压防控任务艰巨:因高血压死亡人数全球领先,中风是我国首位死因

2018-06-07 文韬 中国循环杂志

JAMA杂志的“可视化健康”信息图揭示了从1990年至2016年高收缩血压导致的全球死亡趋势趋势。

JAMA杂志的“可视化健康”信息图揭示了从1990年至2016年高收缩血压导致的全球死亡趋势趋势。

2016年全球疾病负担研究估计,中国因高收缩压(≥110-115 mmHg)死亡人数居全球首位,印度、俄罗斯、美国和印度尼西亚紧随其后。


图 中国因高收缩压死亡人数居全球首位

中国在1990年因收缩压高死亡人数是140万左右,2016年则达到230万左右。

在1990年至2016年期间,全球由于高血压导致死亡的原因几乎没有变化,缺血性心脏病和卒中死亡超过了75%。

但在中国,卒中仍然是我国第一位居民死亡原因。

根据全国脑血管病防治研究办公室发布的数据,我国每年有240万新发卒中,110万卒中相关死亡,有1110万卒中生存者。

高血压是造成卒中最重要的一个危险因素,高血压患者发生卒中的危险性是正常人的4到6倍。

我国近期发布的十二五高血压调查揭示,我国≥18岁成人中2.45亿(23.2%)为高血压,但超过1.25亿的人不知道自己有高血压,1.5亿人没有用药治疗,只有3700万(15.3%)得到控制。

我国学者估计,收缩压超过120 mmHg时,收缩压与新发血管事件呈连续正相关。收缩压每升高10 mmHg,缺血性心脏病风险升高31%,缺血性卒中风险约增加30%。

中国还有4.35 亿人是高血压后备军,这些高血压后备军实际上心血管病风险已经明显升高了,即收缩压已超过120 mmHg。

韩国和以色列是高血压死亡率跌幅最大的国家。中国高血压死亡率也在下降。



2016年,除大部分世界卫生组织地区外,男性高收缩压导致的死亡率高于女性,但非洲除外。



原始出处:Laurie Marczak, PhD; Joan Williams, BA; Michaela Loeffler, BA; et al. Global Deaths Attributable to High Systolic Blood Pressure, 1990-2016. JAMA. June 5, 2018

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1967523, encodeId=9d6a196e52367, content=<a href='/topic/show?id=7fe36335360' target=_blank style='color:#2F92EE;'>#死亡人数#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63353, encryptionId=7fe36335360, topicName=死亡人数)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c39f145, createdName=smlt2008, createdTime=Wed Jul 04 16:33:00 CST 2018, time=2018-07-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=326926, encodeId=13083269269d, content=根据该文的结果.支持中国高血压指南将高血压靶目标定在130/80mmHg., beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7ad162150, createdName=tjdsyyzg, createdTime=Mon Jun 25 16:58:13 CST 2018, time=2018-06-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324264, encodeId=510032426467, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=2, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib2emBzjO0FtqTJ05AqrEEdRmp6tmlsLXqpzfxWdtgbbgPGWRHagoK9fLTd3IayRPgkJVIVBWtdlmnkBhOIR4cFM/0, createdBy=e8d51649330, createdName=飘飘爱, createdTime=Fri Jun 15 04:01:59 CST 2018, time=2018-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=323775, encodeId=6865323e755a, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM7miblj4EHgFns3Mic85NWcRwwHYXCBDA8jW0GZ6iaZT55p0bicOcZXvsdT9henNafvCibicOUcwJtWUmkw/0, createdBy=a1fe1637734, createdName=wmw990556, createdTime=Wed Jun 13 07:37:25 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=322457, encodeId=e17332245e90, content=学习了谢谢了, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLPeNmuNF9ibgMfMOAs7Iic5MpiaU8RLmRH67xCKuk5wzfhb7G4ib7ia6z9lrnsTicj1nAUfEOMecZDtvvu/0, createdBy=d7f91939785, createdName=186****0580(小山羊), createdTime=Fri Jun 08 10:01:36 CST 2018, time=2018-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=322340, encodeId=c95d32234002, content=学习了.有趣的研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=73441710184, createdName=明崖, createdTime=Fri Jun 08 00:00:24 CST 2018, time=2018-06-08, status=1, ipAttribution=)]
    2018-06-25 tjdsyyzg

    根据该文的结果.支持中国高血压指南将高血压靶目标定在130/80mmHg.

    0

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    2018-06-15 飘飘爱

    很好

    0

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    2018-06-13 wmw990556

    学习

    0

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    2018-06-08 186****0580(小山羊)

    学习了谢谢了

    0

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    2018-06-08 明崖

    学习了.有趣的研究

    0

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