辽宁省农村地区单纯收缩期高血压的患病率及危险因素调查  

Investigation on Prevalence and Correlative Risk Factors of Isolated Systolic Hypertension Among Rural Adult Groups in Liaoning Province

作　　者：许长禄[1] 孙兆青[1] 郑黎强[2] 王玉忠[3] 胡大一 孙英贤[1] 

机构地区：[1]中国医科大学附属第二医院心内科,辽宁省沈阳市110004 [2]同济大学医学院心肺血管中心,上海市200092 [3]辽宁省阜新矿业集团总医院,辽宁省阜新市123000

出　　处：《中国动脉硬化杂志》2006年第12期1071-1073,共3页Chinese Journal of Arteriosclerosis

基　　金：辽宁省科技攻关重大项目(2003225003)

摘　　要：目的了解辽宁省农村地区单纯收缩期高血压的患病率及危险因素，为辽宁省农村地区高血压的防治提供科学依据。方法采用分层整群随机抽样方法对辽宁省阜新地区7个乡镇年龄≥35岁的30214名农村常住（≥5年）成年人进行调查。由培训过的医师对调查对象进行血压测量和资料收集。结果辽宁省农村居民单纯收缩期高血压患病率为11．92％，标化患病率为12．00％；男性患病率为11．42％，标化患病率为11．29％；女性患病率为12．42％，标化患病率为12．80％，男女间差异有显著性（P〈0．01）。不同乡镇间高血压患病率差异较大，范围为7．81％～15．04％。随着年龄的增高，单纯收缩期高血压患病率呈明显的增高趋势。多元Logistic逐步回归分析发现，年龄、性别、民族、体质指数、饮酒、食盐量等因素是单纯收缩期高血压患病的危险因素。结论辽宁省农村居民单纯收缩期高血压患病率高，且存在多种危险因素，应采取全面的预防控制措施。Aim To assess the prevalence of isolated systolic hypertension （ ISH） and correlative risk taetors among rural adult groups in Liaoning province, and provide scientific basis for preventing and intervening measurement of hypertension in the rural area for government. Methods Through duster multistage and random sampling to a resident （ ≥ 5 years ） group of 30 214 people aged ≥35 years old in seven small towns of Liaoning province, the blood pressure measurement and risk factors investigation were done by trained doctors. Results The prevalence of isolated systolic hypertension for aged ≥ 35 years in rural of Liaoning was 11.92%, and the standardized prevalence was 12.00%. The prevalence of isolated systolic hypertension for male and female were 11.42% and 12.42%, the standardized prevalence were 11.29% and 12.80% respectively, the difference of prevalence in the different sex groups was significant （ P 〈 0.01 ）. The variation range of isolated systolic hypertension prevalence was from 7.81% to 15.04% in different small towns. With the age increasing, the prevalence was obviously up. By Logistic regression, risk factors of age, sex, race, body mass index, drinking, salt intake and so on were close to hypertension occurring. Conclusions The results indicated that isolated systolic hypertension was highly prevalent in Liaoning province and it was associated with many risk factors. Comprehensive measures should be taken to prevent and control isolated systolic hypertension.

关 键 词：流行病学 单纯收缩期高血压 患病率 危险因素 农村 LOGISTIC回归 

分 类 号：R18[医药卫生—流行病学]