桂林市6660例体检者高血压患病率及其危险因素调查分析  

Investigation and Analysis on Prevalence and Risk Factors of Hypertension in 6 660 Physical Examination People of Guilin

作　　者：邹迪莎 于健[1] 叶瑶[1] 郑天鹏[1] 

机构地区：[1]广西桂林医学院附属医院内分泌科,广西桂林市541001

出　　处：《中国动脉硬化杂志》2015年第9期915-918,共4页Chinese Journal of Arteriosclerosis

基　　金：广西壮族自治区卫生厅科研课题(Z2012398)

摘　　要：目的了解桂林市体检人群高血压患病情况,并分析其主要的危险因素。方法采用整体随机抽样的方法对6 660名体检者进行横断面调查,主要包括问卷调查、体格测量和肝脏彩超检查。结果体检人群高血压粗患病率为24.4%(男性27.0%;女性21.5%),全国人口标化率为20.5%(标化后男性22.3%;女性18.5%)。高血压患病率随年龄的增长而升高,70岁之前男性患病率显著高于女性(P<0.01或P<0.05),而70岁之后显著低于女性(P<0.01)。多因素Logistic回归分析显示:高龄、高BMI、脂肪肝、高UA血症、高TG血症、高TC血症和高血糖均为高血压的危险因素。结论桂林市体检人群高血压患病率在西南地区流行水平较高,高龄、高BMI、脂肪肝、高UA血症、高TG血症、高TC血症和高血糖均为高血压的危险因素。Aim To investigate the prevalence status of hypertension in physical examination population of Guilin and analyze major risk factors of hypertension. Methods 6 660 physical examination people were cross-sectionally investigated by the method of cluster random sampling,mainly including questionnaire investigation,physique measurement and liver color doppler ultrasound examination. Results The crude prevalence of hypertension in the physical examination population was 24. 4%（ male 27. 0%; female 21. 5%） and the national population rate of being standardized was20. 5%（ male standardized rate 22. 3%; female standardized rate 18. 5%）. The prevalence of hypertension increased with age,and the prevalence was obviously higher in male than female before the age of 70（ P 〈0. 01 or P〈 0. 05）,while after the age of 70 the prevalence was obviously higher in female than male（ P 〈0. 01）. Multivariate logistic regression analysis demonstrated that high age,high BMI,fatty liver,hyperuricemia,high TG,high TC and hyperglycemia were risk factors of hypertension. Conclusions The prevalence of hypertension in physical examination population of Guilin was high in southwestern China. High age,high BMI,fatty liver,hyperuricemia,high TG,high TC and hyperglycemia were risk factors of hypertension.

关 键 词：高血压 患病率 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]