山东省县级社区高血压与正常高值血压流行病学调查报告

发布时间：2018-11-06 12:12

【摘要】：目的:应用横断面调查方法,对县级社区机关事业单位人群的血压水平、高血压和正常高值血压的流行病学现状以及危险因素进行调查,通过分析高危人群及高血压患者认知行为现状与防治中的薄弱环节,为制定适合于山东省西北部县级社区的高血压和正常高值血压防治策略提供科学依据。方法:选取山东省西北部县级社区德州市平原县区,以机关事业单位在职人群为研究人群进行流行病学调查,通过标准问卷调查形式收集年龄、性别、生活习惯、家族病史、个人慢性病史、治疗现状等基线资料,并按标准化测量方法测量血压,通过汇总数据综合分析高血压及正常高值血压的流行病学特征及影响因素。结果:(1)山东省德州市平原县机关事业单位在职人群收缩压(SBP)及舒张压(DBP)的平均水平分别为127mmHg和83mmHg,其中男性SBP平均水平为132.9±15.9mmHg、DBP平均水平为88.3±11.6mmHg;女性SBP平均水平为117.4±14.6mmHg、DBP平均水平为76.4±9.8mmHg,男性SBP和DBP平均水平明显高于女性。男、女SBP和DBP平均水平均随年龄增高而升高。(2)高血压患病率为34.2%,其中男性为52.1%,女性为14.2%,男性明显高于女性(P0.01),随年龄的增长,男女患病率均趋于增高。调查地区1、2、3级高血压患病率分别为23.5%,8.7%,2.0%。(3)正常高值血压检出率为27.3%,男、女分别为30.0%和24.3%,男性显著高于女性(P0.01)。男性检出率随年龄增长呈现出逐渐降低的趋势,女性检出率在40岁以后随年龄增长呈现逐渐降低的趋势。(4)从单因素logistic回归分析可知,性别、年龄、吸烟、饮酒、家族高血压病史、家族冠心病病史和血脂异常病史是正常高值的危险因素;性别、年龄、吸烟、饮酒、家族高血压病史、家族冠心病病史、血脂异常病史、家族中风病病史和家族肥胖是高血压的危险因素。从多因素logistic回归分析可知家族高血压病史、性别、年龄和血脂异常病史是正常高值血压的危险因素;而家族高血压病史、吸烟、饮酒、年龄、性别和血脂异常病史是高血压的危险因素。(5)高血压知晓率、治疗率、控制率分别为51.1%、31.6%、7.1%,中医药参与率极低。女性知晓率、治疗率及控制率均显著高于男性(P0.01)。无论男性还是女性,随着年龄的增加,高血压的知晓率、治疗率和控制率均升高。结论:(1)山东省德州市平原县机关事业单位在职人群中高血压及正常高值血压已成为的主要公共卫生问题,其中高血压患病率明显高于全国水平,高血压知晓率、治疗率和控制率均较低,总体来看高血压流行呈“一高三低”(即高患病率,低知晓率、治疗率和控制率)状态,这与该地区饮食习惯及该人群的工作性质有关;而正常高值血压检出率接近全国平均水平,提示早期重视并采取及时有效的预防措施,对于防止更多的健康和亚健康人群发展成为高血压具有重要作用。(2)高血压及正常高值血压的影响因素有一定的相关性,性别、年龄、家族高血压病史和血脂异常病史是正常高值和高血压的共同危险因素。
[Abstract]:Objective: To investigate the epidemiological status and risk factors of blood pressure level, high blood pressure and normal high-value blood pressure in the people and institutions of the county level by means of cross-sectional investigation. By analyzing the current situation of cognitive behavior and the weak link in the prevention and treatment of high-risk population and hypertension, the paper provides a scientific basis for developing the strategy of hypertension and normal high-value blood pressure in the community in the northwest of Shandong province. Methods: To select the district of Pingyuan County, the county-level community in the northwest of Shandong Province, to conduct an epidemiological survey for the study population in the on-the-the-job population of the public institutions and institutions, and to collect the age, sex, living habits, family history and the history of individual chronic diseases through the standard questionnaire. The baseline data, such as the current status of treatment, were measured and the blood pressure was measured according to the standardized measurement method. The epidemiological characteristics and influencing factors of hypertension and normal high-value blood pressure were comprehensively analyzed by the pooled data. Results: (1) The average level of systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the in-service population in Pingyuan County, Dezhou City, Shandong Province was 127mmHg and 83mmHg, respectively, in which the average of SBP of male was 132.9mm15.9mmHg, the average of DBP was 88. 3/ 11. 6mmHg, and the average level of SBP was 117.4 and 14.6mmHg, respectively. The average of DBP was 76. 4 to 9.8mmHg, and the average of SBP and DBP in men was significantly higher than that of female. The average level of SBP and DBP increased with age. (2) The prevalence of hypertension was 35.2%, of which, the male was 52.1%, the female was 14. 2%, the male was significantly higher than that of the female (P0.01), and the prevalence of both men and women tended to increase with age. The prevalence of hypertension in the first, second and third stages of the survey was 23. 5%, 8. 7%, and 2.0%, respectively. (3) The positive rate of the normal high-value blood pressure was 27. 3%, the male and female were 30. 0% and 24. 3%, respectively, and the male was significantly higher than that of the female (P 0.01). The male rate of male was decreasing with age, and the rate of female was gradually decreasing with age after the age of 40. (4) From the single-factor logistic regression analysis, the history of sex, age, smoking, drinking, family hypertension, family history of coronary heart disease and the history of dyslipidemia are the risk factors of normal high value; sex, age, smoking, alcohol consumption, family hypertension history, family history of coronary heart disease, History of dyslipidemia, history of stroke in the family and family obesity are the risk factors for hypertension. The history of family hypertension, sex, age and dyslipidemia are the risk factors of normal high blood pressure, and the history of family hypertension, smoking, alcohol consumption, age, sex and dyslipidemia are the risk factors of hypertension. (5) The rate of hypertension, the rate of treatment and control were 51.1%, 31.6%, 70.1%, respectively, and the rate of Chinese medicine participation was very low. The rate of women's awareness, treatment and control was significantly higher than that of male (P0.01). In both men and women, with the increase of age, the awareness rate, treatment rate and control rate of hypertension were all increased. Conclusion: (1) The hypertension and normal high-value blood pressure in the in-service population of Pingyuan County, Dezhou City, Shandong Province has become the main public health problem, among which the prevalence of hypertension is significantly higher than that of the whole country, the awareness rate of hypertension, the treatment rate and the control rate are lower, in general, that prevalence of hypertension is a low (i. e., high prevalence, low awareness rate, treatment rate and control rate) state, which is related to the dietary habit of the region and the working nature of the population; and the normal high-value blood pressure detection rate is close to the national average level, It is suggested that early attention should be paid and effective prevention measures should be taken in order to prevent more health and sub-health population from being developed into hypertension. (2) The influence factors of hypertension and normal high-value blood pressure have certain correlation, sex, age, history of family hypertension and the history of dyslipidemia are the common risk factors of normal high value and high blood pressure.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R544.1;R181.3

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