锦州市H型高血压患病及H型危险因素调查  

Prevalence and risk factors of H-type hypertension among community residents in Jinzhou city

作　　者：李丹[1] 李秀华[2] 刘堃[1] 陈卓[1] 黄米娜[1] 

机构地区：[1]辽宁医学院,辽宁锦州121001 [2]辽宁医学院附属第一医院

出　　处：《中国公共卫生》2015年第3期343-345,共3页Chinese Journal of Public Health

摘　　要：目的了解辽宁锦州市凌河区锦铁街道2社区H型高血压患病现况及常见危险因素。方法于2013年3月—5月采用整群抽样的方法抽取锦州市2个社区>18岁居民为调查对象,进行H型高血压危险因素调查。结果实际接受调查2 419人,应答率为98.45%。H型高血压患者475例,患病率19.63%。多因素分析结果显示,腹型肥胖、吸烟(≥60岁)、合并冠心病及脑卒中家族史为危险因素。结论 H型高血压发病可能与高龄、腹型肥胖、吸烟、合并冠心病及脑卒中家族史等危险因素指标密切相关。Objective To explore the prevalence and common risk factors of hypertension comorbid with hyperhomocysteinemia（ H-type hypertension） among community residents in Jinzhou city. Methods We selected residents aged more 18 years from two communities in Jinzhou city with random cluster sampling and conducted a questionnaire survey on risk factors of H-type hypertension. Results Totally 2 457 residents participated the survey and the response rate was98. 45%. Of all the participants,681 were hypertensives and the hypertension prevalence rate was 28. 15%,and 475 were H-type hypertension patients and the prevalence rate of H-type hypertension was 19. 63%. The results of univariate analyses demonstrated that the factors related to H-type hypertension included at the age of 50- 60 years,male gender,obesity,abdominal obesity,tobacco smoking,meat-eating dietary habit,lack of exercise,comorbid with coronary heart disease and metabolic syndrome,and familial history of H-type hypertension and stroke（ all P〈0. 05）. Multivariate logistic regression analyses showed that the significant risk factors of H-type hypertension were at the age of 50- 60 years（ odds ratio[OR]= 2. 870,95% confidence interval[95% CI] = 2. 049- 3. 270）,abdominal obesity（ OR = 2. 511,95% CI = 1. 838-2. 942）,tobacco smoking（ OR = 3. 175,95% CI = 2. 308- 3. 365）,comorbid with coronary heart disease（ OR = 3. 225,95% CI = 2. 165- 3. 513）,and with familial history of stroke（ OR = 3. 225,95% CI = 2. 165- 3. 513）. Conclusion The prevalence of H-type hypertension probably is closely related with aging,abdominal obesity,tobacco smoking,coronary heart disease,and familial history of stroke among community residents in Jinzhou city.

关 键 词：H型高血压 高同型半胱氨酸血症 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]