天津市社区正常高值血压居民合并已知高血压危险因素的分析  

Analysis of risk factors of hypertension in residents with prehypertension of communities in Tianjin city

作　　者：赵欢欢[1] 孙跃民[1] 姚薇[1] 牛凯军[2] 李永乐[1] 高玉霞[1] 万征[1] 

机构地区：[1]天津医科大学总医院心血管病中心,天津300052 [2]天津医科大学公共卫生学院

出　　处：《中国慢性病预防与控制》2015年第4期275-278,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：天津市卫生局科技基金项目(11KG133)

摘　　要：目的调查天津市社区40～70岁正常高值血压居民合并已知高血压危险因素的聚集情况，为高血压和相关心血管疾病的防治提供依据。方法采用自然抽样方法，对天津市6个区年龄40～70岁的未明确患高血压的常住人口进行调查，收集人口统计学、生活方式资料，测量血压、身高、体重和腰围，并检测血糖、血脂等生化指标。按血压水平分为正常高值血压组[120mmHg≤收缩压≤139mmHg和（或）80mmHg≤舒张压≤89mmHg]和正常血压组（收缩压〈120mmHg和舒张压〈80mmHg）。多因素logistic回归分析正常高值血压组合并已知高血压危险因素的聚集情况。结果共调查1176人，正常高值血压组592人，正常血压组584人，40～70岁不同年龄段正常高值血压组的体质指数、腰围、甘油三酯、男性比例及饮酒比例方面均高于正常血压组，差异均有统计学意义（P〈0．05，P〈0．01），不同年龄段两组糖尿病史比例、吸烟比例和低密度脂蛋白胆固醇水平差异均无统计学意义（P〉0．05），年龄≥50岁正常高值血压组的空腹血糖水平高于正常血压组，差异有统计学意义（Pl〈0．05）。正常高值血压组有0项和1项危险因素（摘自中国高血压防治指南中已知的吸烟、饮酒、超重或肥胖、血脂异常和高血糖这5种高血压危险因素）者所占比例低于正常血压组，有3项、4项和5项危险因素者所占比例高于正常血压组。差异均有统计学意义（P〈0．01）。40-70岁居民危险因素个数为1项、2项、3项、4项和5项者合并正常高值血压的危险性是个数为0项者的1．76倍、2．32倍、3．55倍、3．52倍和22．18倍。结论天津市社区40～70岁正常高值血压居民存在已知高血压危险因素聚集的现象，应对正常高值血压人群进行合理的控制。Objective To investigate the risk factors of hypertension in residents （40-70 years old） with prehypertension in Tianjin city and to provide the base for prevention and treatment of hypertension and related diseases. Methods The convenience sampling in present study was used to select 1 176 residents （40-70 years old） with unclear diagnosis of hypertension from 6 communities in Tianjin city as the subjects. Demographic and lifestyle data were collected. Blood pressure, body height and weight, waistline, blood glucose and blood lipids were measured. All subjects were divided into the prehypertension group [592 cases, 120 mmHg ≤ SBP ≤ 139 mmHg and （or） 80 mmHg ≤ DBP ≤ 89 mmHg] and the normal blood pressure group （584 cases, SBP〈120 mmHg and DBP〈80 mmHg）. Multiple logistic regression analysis was used to analyze the clustering of risk factors of hypertension for prehypertension. Results The body mass index （BMI）, waistline, triglyceride, male proportion and drinking rate in prehypertension group were significantly higher than those in normal blood pressure group （P〈0.05 or P〈0.01 ）. But the proportion of diabetes history, the percentages of smoking and low density ;ipoprotein cholesterol level showed no statistically difference between two groups （P〉0.05）. The fasting plasma glucose level of residents with ≥ 50 years old in prehypertension group was significantly higher than that of normal blood pressure group （P〈0.05）. The percentages of residents with 0 or 1 risk factor （such as smoking, drinking, obesity and overweight, hyperlipidemia and hyperglycemia cited from Chinese Hypertension Prevention Guide） in prehypertension group were significantly lower than those of normal blood pressure group（P〈0.01 ）. The percentages of residents with 3,4 or 5 risk factors in prehypertension group were significantly higher than those of normal blood pressure group （P〈0.01）. The risk of prehypertension in 40-70 years old residents with 1,2,3,4 and 5 risk factors

关 键 词：天津市社区 正常高值血压 高血压危险因素 LOGISTIC模型 

分 类 号：R544.1[医药卫生—心血管疾病]