甘肃省青年高血压及其危险因素的流行病学调查研究

发布时间：2018-01-03 04:00

本文关键词：甘肃省青年高血压及其危险因素的流行病学调查研究　出处：《兰州大学》2016年硕士论文　论文类型：学位论文

【摘要】：背景及目的:高血压病是多种因素导致的进行性的心血管疾病综合征,可引起心脏及全身血管的功能及结构的改变。目前我国高血压的发病率持续升高,特别是年轻的高血压患者增多。但我省近年来缺乏相关的资料,本研究拟用流行病学调查的方法对甘肃省青年人高血压的患病现状及其相关危险因素进行研究。方法:采用分层多阶段随机抽样的方法,于2013年至2014年间抽取甘肃省14个地州市的18岁至44岁青年人总计约13085人,通过现场进行问卷调查和体格检查的方式,横断面调查甘肃省18岁至44岁的青年正常高值血压及高血压两方面的患病状况,并分析性别、城乡、年龄、体重指数、吸烟、饮酒、运动和食盐等情况与患高血压病的关系,利用SPSS 20.0软件进行数据的统计学分析。结果:1.本次研究共检出甘肃省18岁至44岁青年正常高值血压的3224人,检出率为24.63%,共检出高血压患者1949人,总体高血压粗患病率为14.91%,标化后高血压患病率为14.41%,其中男性患病率为15.70%,女性患病率为13.77%,城乡高血压患病率分别为15.64%和14.10%;2.通过研究多因素Logistic回归分析显示,年龄、性别、城乡、体重指数、吸烟、饮酒、运动、食盐情况等因素均与甘肃省18岁至44岁青年高血压病的发生关系密切,其中男性、城市、超重和肥胖、吸烟、饮酒、缺乏运动及高盐饮食是影响甘肃省青年高血压患病率的危险因素。结论:甘肃省青年高血压患病率较前呈上升趋势。超重和肥胖以及青年人的不良生活习惯如吸烟、饮酒、缺乏运动及高盐饮食等是甘肃省青年高血压病的主要危险因素。在因此在青年阶段的健康教育和生活方式的干预对高血压的防控有重要意义。
[Abstract]:Background and objective: hypertension is a progressive cardiovascular syndrome caused by many factors, which can cause changes in the function and structure of the blood vessels of the heart and the whole body. At present, the incidence of hypertension in China continues to increase. In particular, the number of young patients with hypertension increased, but in recent years in our province lack of relevant data. This study aims to study the prevalence and risk factors of hypertension among young people in Gansu Province by means of epidemiological investigation. Methods: stratified multi-stage random sampling was used. From 2013 to 2014, a total of 13085 young people aged 18 to 44 years in 14 prefectures and cities of Gansu Province were selected for questionnaire survey and physical examination. A cross-sectional study was conducted on the prevalence of normal high blood pressure and hypertension among young people aged 18 to 44 in Gansu Province. Sex, urban and rural areas, age, body mass index (BMI), smoking and drinking were analyzed. The relationship between exercise, salt and hypertension. The data were analyzed by SPSS 20.0 software. Results: 1. A total of 3224 normal high blood pressure subjects aged 18 to 44 years in Gansu Province were detected in this study. The detection rate was 24.63. A total of 1949 hypertension patients were detected. The total crude prevalence rate of hypertension was 14.91, and the standardized hypertension prevalence rate was 14.41%. The prevalence of hypertension in urban and rural areas was 15.64% and 14.10 respectively. 2. Multivariate Logistic regression analysis showed that age, sex, urban and rural areas, body mass index, smoking, drinking, exercise. Salt and other factors were closely related to the incidence of hypertension in young people aged 18 to 44 in Gansu Province, including male, urban, overweight and obese, smoking and drinking. Lack of exercise and high salt diet are the risk factors affecting the prevalence of hypertension in young people in Gansu province. The prevalence of hypertension in young people in Gansu Province is on the rise. Overweight and obesity and unhealthy habits of young people such as smoking. Drinking, lack of exercise and high salt diet are the main risk factors of hypertension in young people in Gansu Province. Therefore, health education and lifestyle intervention in youth are of great significance to the prevention and control of hypertension.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R544.1

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