天津市体检人群正常高值血压状况及其影响因素分析  

Prevalence of Prehypertension and its Risk Factors of Physical Examination Population in Tianjin

作　　者：张蕊[1] 张莉[2] 刘颖 苏征[4] 焦振山[5] 

机构地区：[1]天津医科大学研究生院2010级硕士研究生,天津300070 [2]天津市第一中心医院健康体检科 [3]天津市河北区建昌道社区卫生服务中心 [4]天津医科大学基础医学院 [5]天津市中医药研究院中心实验室

出　　处：《中国慢性病预防与控制》2012年第6期649-651,共3页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：天津市卫生局重点科技攻关项目(07KG04)

摘　　要：目的调查天津市体检人群高血压和正常高值血压的流行现况,并分析正常高值血压的影响因素,为降低高血压发病率提供依据。方法选择于2010年9月至2011年9月在天津市某三甲医院健康体检中心进行体检的9629名受检者作为调查对象。计算该人群的高血压检出率和正常高值血压的检出率,用二分类logistic回归法筛选正常高值血压的影响因素。结果天津市体检人群高血压的检出率为27.53%,按全国人口构成标化后,检出率为24.14%,按天津市人口构成标化后,检出率为25.77%。体检人群正常高值血压的检出率为33.33%,按全国人口构成标化后,检出率为33.46%,男性的正常高值血压的标化检出率(37.75%)高于女性(29.34%)。经多因素logistic回归分析显示,有统计学意义的影响因素及其OR值(95%CI)分别为男性:1.687(1.503～1.894),年龄:1.280(1.226～1.335),体质指数:2.013(1.839～2.203),高脂血症:1.251(1.100～1.422),高血压家族史1.674(1.398～2.004)。结论天津市体检人群的高血压检出率和正常高值血压检出率较高,人群的正常高值血压受多种因素影响,应对正常高值血压的人群进行干预,特别是对超重或者肥胖、具有高血压家族史、中青年男性正常高值血压患者进行干预,使其避免向临床高血压发展。Objective To investigate the prevalence rate of hypertension and prehypertension of physical examination population in Tianjin, and to analyze the risk factors for prehypertension. Methods The clinical data of the physical examination population from 2010 to 2011 in a hospital of Tianjin were collected, which included blood pressure, fasting blood glucose, body height and weight, anamnesis and family history. The prevalence rate of hypertension and prehypertension was calculated and the risk factors of prehypertension were analyzed with binary logistic regression. Results The overall prevalence rate of hypertension was 27.53%, the adjusted rate according to the composition of whole country population by 2010 census was 24.14%, and the standardized rate based on composition of Tianjin population was 25.77%. The prevalence rate of prehypertension was 33.33%, the adjusted rate according to the composition of whole country population by 2010 census was 33.46%, and the adjusted rate in men （37.75%） was higher than it in women （29.34%）. The results of logistic regression analysis indicated that the risk factors （OR, 95% CI） of prehypertension among the physical examination population included male （1.687,1.503 -1.894）, age group （1.280,1.226-1.335）, BMI（2.013, 1.839-2.203）, hyperlipidemia（1.251, 1.100-1.422）, family history（1.674, 1.398-2.004）. Conclusion The prevalence rates of hypertension and prehypertension are higher in the studied subjects. The prevalence rate of prehypertension is influenced by many factors. Measures to prevent and control the occurrence of hypertension should be taken.

关 键 词：高血压 正常高值血压 影响因素 LOGISTIC回归 

分 类 号：R544.1[医药卫生—心血管疾病]