农村正常高值血压及高血压居民的心脑血管危险因素分布特征  

Cardiovascular and cerebrovascular risk factors distribution characteristic of pre-hypertension and hypertension among rural residents

作　　者：郭跃伟[1] 郭丽君[2] 顾颜胜[1] 雒国胜[3] 蒋利国[2] 王正晓[2] 马振江[2] 

机构地区：[1]新乡医学院人事处,河南新乡453003 [2]新乡医学院管理学院,河南新乡453003 [3]新乡医学院科技处,河南新乡453003

出　　处：《重庆医学》2014年第23期3011-3013,3016,共4页Chongqing medicine

基　　金：河南省教育厅项目(2010B33000)

摘　　要：目的了解农村正常高值血压及高血压居民的心脑血管危险因素分布特征。方法采用随机整群抽样方法抽取河南省新乡地区18-65岁常住农村居民665人进行现况调查。正常高值血压及高血压分布规律应用检出率进行描述,各组率的差别采用χ2检验进行比较。结果农村居民正常高值血压的检出率为46.6%,高血压的患病率为31.7%。农村居民正常高值血压和高血压的检出率随年龄（P=0.000）、性别（P=0.001）、体质量指数（BMI）（P=0.000）、腰围（P=0.000）、血糖（P=0.015）、总胆固醇（P=0.000）的增加或升高而增高。结论农村正常高值血压及高血压居民的心脑血管危险因素分布存在一定的规律性。应以中老年者、男性者、超重与肥胖及腹型肥胖者、空腹血糖受损及糖尿病者、血脂边缘升高及升高者为重点对象实施全方位的健康管理、预防与控制。Objective To examine the cardiovascular and cerebrovascular risk factors distribution characteristic of pre-hypertension and hypertension among rural residents.Methods A cross sectional study was conducted among 665 rural residents of aged18-65 years in Xinxiang city of Henan province by employing random cluster sampling.The detection rates of prehypertension and hypertension were analyzed and described among different characteristic groups.Chi-square test was used to compare the betweengroup differences in detection rate.All data analyses were performed using SPSS13.0programs.Results The detection rate was46.6%for prehypertension and 31.7%for hypertension.The detection rates of prehypertension and hypertension in rural residents increased with the increasing age（P=0.000）,sex（P=0.001）,body mass index（BMI,P=0.000）,waist circumference（P=0.000）,blood sugar（P=0.015）,total cholesterol（P=0.000）.Conclusion The cardiovascular and cerebrovascular risk factors distribution characteristic of prehypertension and hypertension among rural residents in Xinxiang area of Henan province has certain pattern.The target population of health management and to control of prehypertension and hypertension should be the elderly population,male,and those with overweight,obese,and abdominal obesity,impaired fasting glucose and diabetes mellitus,edge hyperlipidemia and dyslipidemia.

关 键 词：正常高值血压 高血压 检出率 发生率 农村居民 

分 类 号：R544.1[医药卫生—心血管疾病]