长春市汽车产业开发区部分社区高血压病危险因素的病例对照研究  

作　　者：张舒娜[1] 张书航[1] 张颖[1] 潘洪涛[1] 王莉梅[1] 王晓光[1] 杨杰[1] 

机构地区：[1]吉林大学第四医院,吉林省长春市130011

出　　处：《中国社区医师（医学专业）》2013年第23期107-108,共2页

摘　　要：目的:探讨长春市汽车产业开发区社区居民高血压病的流行现状及主要危险因素,为干预工作提供依据。方法:采取随机分层抽样的方法,从长春市汽车产业开发区26万居民中抽取调查样本4000例,入选3447例,进行单因素、多因素Logistic回归分析。结果:①单因素Logistic回归分析显示,年龄、性别、吸烟、酗酒、绝经前妇女、高血压病史、体重指数、血糖、尿酸、甘油三酯、同型半胱氨酸在两组之间差异有统计学意义(P<0.05),比数(OR)比值除绝经前妇女外均>1,高血压与上述因素存在正相关(OR>1,P<0.05),高血压与绝经前妇女存在负相关(OR<1,P<0.05)。②多因素logistic回归分析显示,年龄、高血压与高血压家族史、体重指数、甘油三酯存在正相关(OR>1,P<0.05),高血压与绝经前妇女存在负相关(OR<1,P<0.05)。结论:高血压家族史、体重指数、甘油三酯、绝经可看做高血压病危险因素,绝经前妇女存在高血压保护因素。Objective：To study epidemiologic feature and risk factors of crowds with hy- pertension in Changchun and establish the prevention and cure strategy of hypertension. Methods：The samples were collected with stratified random sampling method from 260 000 residents in Changchun.Four thousand samples of 18 to 60 years old people were selected.3447 residents of Changchun were investigated.All date were analysed with lo- gistic regression model.Resuhs：（1）By single factorial logistic regression analysis,risk fac- tors of hypertension were smoking, drink- ing, family history of hypertension, body mass index （BMI）,uricacid,blood glucose （Gln）,triglyceride（TG）,homocysteine（OR 〉1, P 〈 0.05）.Perimenopause was the protec- tion factor of hypertension（OR 〈 1,P 〈 0.05）. （2） By multiple factorial logistic regression analysis,the hypertension was positively cor- related with BMI, TG, and family history of hypertension（OR 〉 1,P 〈 0.05）and peri- menopause was the protection factor of hy- pertension（OR 〈 1,P 〈 0.05）.Conclusions： BMI,TG,age and family history of hyperten- sion are considered as the risk factors of hy- pertension,and permenopause is a protective factor of hypertension in changchun.

关 键 词：高血压病 危险因素 

分 类 号：R743.33[医药卫生—神经病学与精神病学]