重庆市高血压病影响因素的病例对照研究  

CASE-CONTROL STUDY ON THE RISK FACTORS OF HYPERTENSION IN CHONGQING

作　　者：綦岩 窦贵旺[2] 巫胜[3] 胡伟[3] 钟慧云[3] 钟望涛[4] 吴志红[2] 

机构地区：[1]内蒙古呼和浩特炼油厂生活区职工医院,呼和浩特010070 [2]重庆医科大学公共卫生学院流行病学教研室 [3]重庆医科大学 [4]广东医学院附属医院神经内科

出　　处：《现代预防医学》2009年第20期3826-3827,3830,共3页Modern Preventive Medicine

摘　　要：[目的]研究重庆市中老年人高血压病的影响因素,探讨预防对策。[方法]在现况调查的基础上,对334例中老年观察对象进行成组病例对照研究(其中病例:158人,对照176人),对调查变量进行二分类变量Logistic回归分析。[结果]影响高血压患病的独立危险因素有:高血压病家族史(χ2=27.593,P=1.50E-07,0R=1.314)、体重指数(Body mass index,BMI)(χ2=8.069,P=0.005,0R=1.117)、文化水平(χ2=4.947,P=0.026,0R=1.310),经常体育锻炼(χ2=3.653,P=0.056,0R=1.828)为保护性因素。[结论]重庆市中老年人高血压病患病率处于较高水平。重庆地区高血压的防治是当前亟待解决的问题。[Objective] To identify the risk factors of hypertension among ederly and middle-age people in the first affiliated hospital of Chongqing Medical University, in order to discover preventive ways. [Methods] On the basis of investigation on current situation in hypertension, a group case-control study of 158 hypertensive ederly and middle-age patients was recruited as the study group, and 176 non-hypertensive subjects were used as the control group. The data obtained were treated by t test and the binary Logistic regression model. [ Results] The results showed that the factors related to hypertension included education background （X2=4.947, P=0.026, OR=1.310）, body massindex （BMI） （X2=8.069, P=0.005, 0R=1.117）, hypertension family history （X2 = 27.593, P = 1.50E-07, OR =1.314） and frequency of physical exercises （X2= 3.653, P = 0.056, OR =1,828）, and the physical exercise was the protective factor. [Conclusion] The prevalence rate of hypertension is higher.Public health education programs, multiple prevention and intervention measures should be strengthened among ederly and middle-age people in Chongqing.

关 键 词：高血压 影响因素 病例对照研究 

分 类 号：R544.1[医药卫生—心血管疾病]