青岛市正常高值血压及高血压人群现况和全身血管损伤情况

发布时间：2018-05-23 15:20

  本文选题：高血压 + 正常高值血压　； 参考：《中国老年学杂志》2017年16期

【摘要】：目的探讨青岛地区正常高值血压及高血压人群患病情况及全身血管损伤情况。方法对青岛市30岁以上人群进行横断面调查,调查内容包括基本情况、血压、临床生化指标检测、尿白蛋白肌酐比值(UACR)、肱踝脉搏波传导速度(ba PWV)、网膜中央动脉直径(CRAE)及合并心血管危险因素情况。结果 4 346名调查者中,正常高值血压1 165人(26.8%),高血压1 739例(40.0%),男性高血压患病率44.8%,女性36.8%,30~39岁人群高血压患病率9.7%,40~49岁22.4%,50~59岁42.1%,60~69岁(63.2%),≥70岁74.6%。正常高值血压组与高血压组人群年龄、体重指数(BMI)、腰围、收缩压、舒张压、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FPG)、糖化血红蛋白(Hb A1c)、尿酸(UA)水平均高于正常血压组,高血压组均高于正常高值血压组(P0.05)。高血压组合并3种及≥4种危险因素人数比例高于正常高值血压组及正常血压组(P0.05)。高血压组UACR、ba PWV、CRAE异常率高于正常高值血压组及正常血压组(P0.05)。多因素Logistic回归分析发现,正常高值血压及高血压均是UACR、ba PWV、CRAE的独立危险因素(P0.05)。结论青岛市男性高血压患病率高于女性,随着年龄增长,高血压患病率呈不断上升趋势,正常高值血压人群及高血压人群均合并有多种代谢异常及多种心血管疾病危险因素,且已经发生血管损伤,应加强对正常高值血压人群及高血压人群的健康教育,积极控制血压,降低心脑血管事件发生率。
[Abstract]:Objective to investigate the prevalence of high blood pressure, hypertension and systemic vascular injury in Qingdao area. Methods A cross-sectional survey was carried out among people over 30 years old in Qingdao. The survey included basic information, blood pressure, and clinical biochemical indexes. Urinary albumin creatinine ratio (UACRA), brachial ankle pulse wave velocity (BMPV), central omental artery diameter (CRAE) and cardiovascular risk factors were observed. Results among the 4 346 respondents, 1 165 subjects with normal high blood pressure were found to have high blood pressure (1 165), 1 739 cases had high blood pressure (n = 1 739), the prevalence rate of hypertension was 44.8% in males, and 9. 7% in females aged 22. 449 years old, 22. 440 years old, 59 years old and 42. 1 0 years old. The prevalence rate of hypertension was 9. 7% in women aged 22. 449 years and 60. 69 years old, and 74.6T in 鈮，

本文编号：1925307