高血压患者发生心血管事件的危险因素分析  

Risk Factors of Cardiovascular Events in Patients with Hypertension

作　　者：屈志萍[1,2] 刘新民[1] 张燕杰[2] 李晓卫[2] 

机构地区：[1]天津医科大学公共卫生学院,300070 [2]天津市胸科医院

出　　处：《天津医药》2011年第1期24-26,共3页Tianjin Medical Journal

摘　　要：目的:探讨高血压患者发生心血管事件的相关危险因素。方法:选取我院患有高血压的住院患者507例,收集全部病历资料,对发生心血管事件与未发生心血管事件患者的各项指标进行分析,对影响心血管事件的相关因素进行Logistic回归分析。结果:心血管事件的发生率为46.15%(234/507),其中男70.09%(164/234),女29.91%(70/234)。发生心血管事件的危险因素包括年龄、性别、体质量指数(BMI)、低密度脂蛋白胆固醇(LDL-C)及血浆纤维蛋白原。结论:对于高血压患者,除性别、年龄、BMI和LDL-C这些传统的心血管事件危险因素外,血浆纤维蛋白原也是较为独特的危险因素。Objective： To explore the related risk factors of cardiovascular events in patients with hypertension. Methods： Clinical data from 507 patients with hypertension who hospitalized in Tianjin Chest Hospital were analyzed, focusing on the risk factors of cardiovascular events. We analyze the indicators between patients who occurred with and without cardiovascular events. Logistic regression was used to analyze the related factors of cardiovascular events. Results： There were 288 male and 219 female in 507 patients with hypertension. The incidence of cardiovascular events was 46.15% （234/507）,which was 70.09% （164/234） in male and 29.91% （70/234）in female. The independent risk factors of cardiovascular events were age, gender, body mass index （BMI）, low density lipoprotein （LDL）-C and fibrinogen. Conclusion： For patients with hypertension, fibrinogen is another independent risk factor for cardiovascular events besides traditional risk factors.

关 键 词：高血压 心血管疾病 危险因素 人体质量指数 纤维蛋白原 LOGISTIC模型 

分 类 号：R587.1[医药卫生—内分泌]