2010年~2014年邢台市成年居民高血压患病状况及影响因素分析

发布时间：2019-01-02 13:19

【摘要】：目的:了解邢台市居民的高血压患病特点及变化趋势,并探讨相关影响因素,为进一步开展慢性病管理、健康教育工作提供依据。方法:数据来源于邢台市某医院2010年~2014年五年间的体检结果,体检项目由卫计委统一规定,本文选用的数据为部分体检数据,内容包括年龄、性别、身高、体重、收缩压、舒张压、血脂四项、空腹血糖等信息。研究对象为五年间18岁及以上的体检人员,每年的调查样本量分别为2779人、7604人、7818人、10432人、7861人。采用SPSS19.0对数据进行整理分析,对邢台市某医院的成年体检人员高血压患病率的变化趋势进行描述性分析;采用?2检验进行单因素分析、多因素非条件Logistic回归分析进行多因素分析,分析年龄、性别、体质指数、糖尿病、血脂异常等对成年体检人员的高血压患病率的影响。结果:1高血压患病特点及变化趋势2010年~2014年的邢台市体检人员高血压患病率分别为42.97%、43.71%、44.10%、44.84%、43.72%,男性高血压患病率分别为50.91%、50.52%、51.69%、52.04%、50.55%,女性高血压患病率分别为27.57%、28.33%、29.12%、29.71%、29.71%。五年间高血压患病率呈略微增长趋势。采用2010年~2014年合并总人群作为标准人口对5年数据进行标化,标化后结果:2010年~2014年高血压标化患病率分别为45.45%、44.33%、44.66%、43.77%、42.28%,男性高血压标化患病率分别为50.15%、50.36%、52.08%、51.07%、49.45%,女性高血压标化患病率分别为28.86%、30.62%、29.61%、28.98%、27.92%。2高血压患病率的单因素分析单因素分析显示,不同性别间高血压患病率不同,男性高血压患病率高于女性,各年份差异均有统计学意义(?2分别为138.77、323.61、360.27、459.49、305.62,均P0.01);高血压患病率与年龄增加密切相关,不同年龄间高血压患病率有明显差异(?2分别为220.99、402.42、466.30、692.85、552.68,均P0.01),在各年份高血压患病率均有随年龄增加的升高趋势,且不同性别间高血压患病率也均与年龄增加有关;高血压的患病率在超重肥胖组与正常组的分布表现出了较大差异,超重肥胖组高血压患病率明显高于体重正常组(?2分别为306.87、661.36、773.41、899.37、761.92,均P0.01);糖尿病组高血压患病率高于血糖正常组(?2分别为42.85、123.82、184.49、228.03、247.64,均P0.01);血脂异常率与高血压患病率也表现出一定联系,血脂异常组高血压明显高于血脂正常组(?2分别为58.36、220.28、264.85、217.45、33.16,均P0.01)。3多因素非条件Logistic回归分析多因素分析结果显示,在控制了年龄因素后,超重或肥胖、男性、血脂异常、糖尿病仍为高血压的危险因素。结论:高血压患病率男性高于女性,且随年龄增长呈现上升趋势,并随年份的后移略有升高。高血压患病率与超重/肥胖、血脂异常、糖尿病、男性呈现正相关。邢台市体检人员高血压患病率较高,应采取多种措施降低高血压发病率,减少高血压对社会、经济带来的影响。
[Abstract]:Objective: to investigate the characteristics and trends of hypertension in Xingtai, and to explore the related factors to provide the basis for the further development of chronic disease management and health education. Methods: the data were obtained from the medical examination results of a hospital in Xingtai City from 2010 to 2014. The items of physical examination were stipulated by the Health and Family Planning Commission. The data selected in this paper are partial physical examination data, including age, sex, height, weight, systolic blood pressure. Diastolic blood pressure, blood lipids, fasting blood glucose and other information. The subjects of the study were 18 years old and over. The annual sample numbers were 2779, 7604, 7818, 10432 and 7861, respectively. The data were collected and analyzed by SPSS19.0, and the trend of hypertension prevalence among adult health examiners in a hospital in Xingtai city was analyzed in a descriptive way. The influence of age, sex, body mass index, diabetes mellitus and dyslipidemia on the prevalence of hypertension was analyzed by using? 2 test and multivariate Logistic regression analysis. Results: (1) the prevalence rate of hypertension among physical examiners in Xingtai City from 2010 to 2014 was 42.97 and 44.101.The prevalence of hypertension was 44.84 and 43.72, respectively. The prevalence rate of hypertension in males was 50.91and 50.52including 52.04 and 52.04, respectively. The prevalence rate of hypertension in females was 27.5728.33 and 29.120.29. 71 and 29.71, respectively. The prevalence of hypertension increased slightly in five years. The five year data were standardized by using the combined population from 2010 to 2014 as the standard population. The results showed that the standardized prevalence of hypertension from 2010 to 2014 was 45.45% and 44.33% respectively. The standardized prevalence rate of hypertension in males was 50.15 and 50.360.387.The standardized prevalence rate of hypertension in females was 28.866.62 and 28.988.The standardized prevalence rate of hypertension was 51.07% and 49.45%, respectively. The univariate analysis of 27.92.2 prevalence of hypertension showed that the prevalence rate of hypertension was different among genders, and the prevalence rate of hypertension in males was higher than that in females. The difference was statistically significant in each year (? 2 was 138.77323.61360.27459.49305.62, respectively, P0.01); The prevalence of hypertension was closely related to the increase of age, and there were significant differences in the prevalence of hypertension among different ages (220.99402.42466.306.692.85552.68, respectively, P0.01). In each year, the prevalence of hypertension increased with age, and the prevalence of hypertension was related to the increase of age. The prevalence of hypertension in overweight and obesity group was significantly higher than that in normal body weight group (? 2 = 306.87661.36773.41899.37761.92, all P0.01). The prevalence of hypertension in diabetic group was higher than that in normal blood glucose group (42.85123.82184.49228.03247.64, respectively, P0.01). The abnormal rate of blood lipids was also associated with the prevalence of hypertension, and the hypertension rate in dyslipidemia group was significantly higher than that in normal blood lipid group (? 2 = 58.36220.28264.85217.45, 33.16, respectively). The results of multivariate Logistic regression analysis showed that overweight or obesity, male, dyslipidemia and diabetes were still the risk factors of hypertension after controlling for age. Conclusion: the prevalence rate of hypertension in males is higher than that in females. The prevalence of hypertension was positively correlated with overweight / obesity, dyslipidemia, diabetes, and men. The prevalence rate of hypertension in physical examination personnel in Xingtai City is high. Many measures should be taken to reduce the incidence of hypertension and to reduce the impact of hypertension on society and economy.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R544.1

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