江苏镇江市区居民高血压患病危险因素及血压控制率调查

发布时间：2018-02-22 09:11

本文关键词： 高血压危险因素 Logistic回归控制率　出处：《现代预防医学》2017年11期 　论文类型：期刊论文

【摘要】：目的调查镇江市区居民高血压患病危险因素和血压控制现状。方法采用横断面调查方法于2016年7-10月调查镇江市区18岁以上常住居民共3 138人,其中高血压患者2 085例。对所有研究对象进行高血压相关问卷调查及体格检查,应用多因素Logistic回归法分析高血压患病危险因素,并调查高血压患者服药情况和控制率。结果多因素Logistic回归分析显示,高血压患病危险因素有:高血压家族史、糖耐量受损、血脂异常、高盐饮食、饮酒、年龄、腰围和体重(OR值依次为2.911、2.199、1.737、1.401、1.223、1.052、1.030和1.021),有氧运动OR值0.673。服用血管紧张素转换酶抑制剂或血管紧张素受体拮抗剂(A)占21.75%、钙离子拮抗剂(C)占19.78%、利尿剂(D)占0.71%,A+C占13.55%,A+C+D占1.81%,其他占22.83%。高血压总体控制率为50.89%,其中以30-39岁和大专及以上文化人群血压控制率最高。结论高血压家族史和糖耐量受损是镇江市居民高血压患病最主要的危险因素,有氧运动为保护因素。镇江市区高血压人群血压控制率在不同年龄及文化程度存在差异。
[Abstract]:Objective to investigate the risk factors of hypertension and the status of blood pressure control in Zhenjiang urban area. Methods A cross-sectional survey was conducted on 3 138 residents aged over 18 years old in Zhenjiang city from 2016 to October. Among them, 20 85 patients with hypertension were investigated by questionnaire and physical examination, and the risk factors of hypertension were analyzed by multivariate Logistic regression. Results multivariate Logistic regression analysis showed that the risk factors of hypertension were family history of hypertension, impaired glucose tolerance, dyslipidemia, high salt diet, drinking, age. The OR values of waist circumference and body weight were 2.911 / 2.1991.737 / 1.401 / 1.2223 / 1.052/ 1.030 and 1.021 / 1, respectively. The OR value of aerobic exercise was 0.673.The OR value of taking angiotensin converting enzyme inhibitor or angiotensin receptor antagonist (Aa) was 21.75, calcium antagonist (C) was 19.78, diuretic diuretic (D) accounted for 0.71A / C (13.55A / D) and 1.81a / D was used. The overall control rate of hypertension was 50.89, among which the population aged 30-39 and above had the highest blood pressure control rate. Conclusion the family history of hypertension and impaired glucose tolerance are the main risk factors of hypertension in Zhenjiang. Aerobic exercise was the protective factor. The blood pressure control rate of hypertension population in Zhenjiang city was different in different age and education level.
【作者单位】：江苏大学附属医院心内科;
【基金】：镇江市重点(医卫)项目(SH2015029) 镇江市社会发展项目(SH2015084)
【分类号】：R544.1

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