北京市城乡高血压前期流行情况及其危险因素  

Prevalence and risk factors of pre-hypertension in urban and rural population of Beijing

作　　者：胡泊[1,2] 李卫[1,2] 刘冰[1,2] 陈涛[1,2] 孙毅[1,2] 

机构地区：[1]北京协和医学院 [2]中国协和医学院&阜外心血管病医院防治中心生物统计部,北京100037

出　　处：《中国组织工程研究与临床康复》2010年第24期4528-4532,共5页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:为早期预防高血压、减少和延缓高血压的发生人数,高血压前期的调查十分重要,但目前国内大规模人群调查中,有关对高血压前期的研究报道较少。目的:对比北京城市和农村高血压前期的流行情况及其危险因素,探讨城市化对高血压前期的影响,为预防和控制提供依据。方法:采用整群抽样的方法于2005年春秋两季对北京市城市和农村的40～65岁人群中进行横断面调查。采集受试者的基本信息和血压情况,诊断标准依据2005年中国高血压防治指南。采用Logistic回归方法进行多因素分析。结果与结论:完成问卷和体检的3268人中,城市受试者高血压前期的患病率低于农村受试者(P<0.05)。男性腰臀比每增加0.1个单位,高血压前期的风险增加1.411(95%CI:1.031～1.931)倍,现在饮酒的人为高血压前期的风险是从不饮酒的0.648(95%CI:0.437～0.961)倍。女性腰臀比每增加0.1个单位,高血压前期的风险增加1.489(95%CI:1.006～2.203)倍,而三酰甘油每增加1个单位,高血压前期的风险增加1.194(95%CI:1.000～1.426)倍。因此说明肥胖是高血压前期重要的危险因素。BACKGROUND：Pre-hypertension investigation plays an important role in preventing,reducing and delaying hypertension.However,there are few reports concerning the pre-hypertension in national large-scale investigations.OBJECTIVE：To compare the prevalence and risk factors of pre-hypertension in urban and rural population of Beijing,to explore the effects of urbanization on the pre-hypertension,in addition,to provide guidance for disease prevention and control.METHODS：A cluster sampling was used to establish a study population of inhabitants aged 40-65.The definition of pre-hypertension was determined by National Revision Committee of the Guidelines of Hypertension Prevention and Control in 2005.Logistic regression model was used to find the risk factors of pre-hypertension.RESULTS AND CONCLUSION：A cohort of 3 268 middle-aged participants were enrolled in the investigation.The prevalence of hypertension in urban was lower than in rural（P 0.05）.Multivariate logistic analysis revealed that,in males,the 0.1 unit increase in waist-hip ratio led to 1.411 increase in risk factor（95% CI：1.031-1.931）,and the current drinking people suffered 0.648 risk factors than that never drinking（95% CI：0.437-0.961）.In females,the 0.1 unit increase in waist-hip ratio resulted in 1.489 increase in risk factor（95% CI：1.006-2.203）,and 1 unit increase in triglyceride caused 1.194 increase in risk factor（95% CI：1.000-1.426）.Accordingly,obesity is a major risk factor for pre-hypertension.

关 键 词：高血压前期 检出率 LOGISTIC回归 整群抽样 城乡 

分 类 号：R318[医药卫生—生物医学工程]