江苏镇江市区居民高血压患病危险因素及血压控制率调查  

Risk factors and control rate of essential hypertension among residents in Zhenjiang,Jiangsu Province

作　　者：沈俊飞[1] 龙欣光 王昭军[1] 时小凤 严金川[1] 张保海[1] 梁仪[1] 曹松梅[1] 夏炜妍 

机构地区：[1]江苏大学附属医院心内科,江苏镇江212001

出　　处：《现代预防医学》2017年第11期1995-1999,共5页Modern Preventive Medicine

基　　金：镇江市重点(医卫)项目(SH2015029);镇江市社会发展项目(SH2015084)

摘　　要：目的调查镇江市区居民高血压患病危险因素和血压控制现状。方法采用横断面调查方法于2016年7-10月调查镇江市区18岁以上常住居民共3 138人,其中高血压患者2 085例。对所有研究对象进行高血压相关问卷调查及体格检查,应用多因素Logistic回归法分析高血压患病危险因素,并调查高血压患者服药情况和控制率。结果多因素Logistic回归分析显示,高血压患病危险因素有:高血压家族史、糖耐量受损、血脂异常、高盐饮食、饮酒、年龄、腰围和体重(OR值依次为2.911、2.199、1.737、1.401、1.223、1.052、1.030和1.021),有氧运动OR值0.673。服用血管紧张素转换酶抑制剂或血管紧张素受体拮抗剂(A)占21.75%、钙离子拮抗剂(C)占19.78%、利尿剂(D)占0.71%,A+C占13.55%,A+C+D占1.81%,其他占22.83%。高血压总体控制率为50.89%,其中以30-39岁和大专及以上文化人群血压控制率最高。结论高血压家族史和糖耐量受损是镇江市居民高血压患病最主要的危险因素,有氧运动为保护因素。镇江市区高血压人群血压控制率在不同年龄及文化程度存在差异。Objective To investigate the risk factors of essential hypertension and control rate of blood pressure in Zhenjiang residents with hypertension. Methods A cross - sectional study was conducted among 3138 adult people in Zhenjiang city from July to October 2016, including 2085 patients with essential hypertension. All the subjects were investigated by questionnaire and physical examination associated with hypertension. Multivariate Logistic regression was used to establish the regression model to analyze the risk factors of essential hypertension. Meanwhile, the current situation of control rate of blood pressure and medical treatment in people with essential hypertension were studied. Results In this study, multivariate logistic regression showed that the family history of hypertension, disorder of blood glucose, dyslipidemia, high salt diet, drinking, age, waist and weight were the risk factors associated with essential hypertension in Zhenjiang residents （ OR = 2.911,2. 199,1. 737,1. 401,1. 223,1. 052,1. 030 and 1. 021 respectively）, while OR value of physical exercise was 0.673. The medication rate of Angiotensin - Converting Enzyme Inhibitor or Angiotensin Receptor Blocker（ A）, Calcium Channel Blocker （ C）, Diuretic （ D）, A ＋ C, A ＋ C ＋ D and others were 21.75 %, 19.78 %, 0.71%, 13.55 %, 1.81% and 22.83 % respectively. The total control rate of blood pressure in the people with hypertension was 50.89%. Among them, the control rate of blood pressure in hypertensive patients aged from 30 to 39 years old and has received junior college or above was the highest. Conclusion Family history of hypertension and metabolic disorder of glucose are the most important risk factors of essential hypertension in Zhenjiang citizen. By contrast, physical exercise is the protective factor against from hypertension. The control rate of blood pressure in Zhenjiang residents suffering from hypertension are different, depending upon age and educational levels.

关 键 词：高血压 危险因素 LOGISTIC回归 控制率 

分 类 号：R195[医药卫生—卫生统计学]