成都地区老年人群高血压患病状况及血压与血糖的关系研究  

Prevalence of Hypertension and Relationship between Blood Pressure and Blood Glucose in the Aged in Chengdu

作　　者：李志刚[1] 黄晓波[1] 刘剑雄[1] 欧阳凌云[2] 刘雅[3] 张廷杰[1] 胡咏梅[1] 易延静[3] 

机构地区：[1]成都市第二人民医院心内科,四川省成都市610017 [2]成都市第二人民医院内分泌科,四川省成都市610017 [3]成都市第二人民医院老年医学科,四川省成都市610017

出　　处：《实用心脑肺血管病杂志》2017年第12期30-34,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：成都市"十一五"重大科技专项(成都市科技局07YTZD972SF-020)

摘　　要：目的调查成都地区老年人群高血压患病状况,并分析血压与血糖的关系。方法 2008年4—8月,选取成都市锦江区、成华区、龙泉驿区的城市社区作为城镇调查点,选取大邑县、龙泉驿区的农村社区作为乡村调查点,分别从5个调查点随机抽取1个居委会或村庄,调查60~79岁常住居民。采用现场调查方法,检测被调查者空腹血糖、血脂指标、尿酸、餐后2 h血糖,测量被调查者血压、身高、体质量、腰围,之后填写自行设计的流行病学调查问卷。老年人收缩压和舒张压的相关因素分析采用多元线性回归分析;老年男性和女性高血压的影响因素分析采用多因素Logistic回归分析。结果本调查共发放2 096份问卷,回收有效问卷1 991份,有效率为95.0%。本组调查人群高血压患病率为52.08%(1 037/1 991),糖尿病患病率为27.42%(546/1 991)。多元线性回归分析结果显示,餐后2 h血糖与老年人收缩压独立相关(β=0.28,P<0.05),空腹血糖与老年人舒张压独立相关(β=0.18,P<0.05)。随着空腹血糖升高,高血压患病率呈升高趋势(P<0.05);随着餐后2 h血糖升高,高血压患病率呈升高趋势(P<0.05)。老年女性高血压患病率高于老年男性(P<0.05)。多因素Logistic回归分析结果显示,糖尿病是老年男性高血压[OR=1.699,95%CI(1.230,2.347)]和老年女性高血压[OR=1.934,95%CI(1.457,2.566)]的危险因素(P<0.05)。结论成都地区老年人群高血压患病率较高,糖尿病是老年高血压的独立影响因素,其中空腹血糖与舒张压关系密切,餐后2 h血糖与收缩压关系密切。Objective To investigate the prevalence of hypertension in the aged in Chengdu,to analyze relationship between blood pressure and blood glucose. Methods From April to August 2008 in Chengdu,3 residents＇ committees in Jinjiang District,Chenghua District, Longquanyi District and 2 countryside communities in Dayi County,Longquanyi District were randomly extracted to investigate the permanent residents（ 60 to 79 years old）. Spot investigation method was used to examine the FPG,blood lipids index,UA,2 h PG,meanwhile blood pressure,height,body mass and waistline were measured; self-made epidemiological questionnaire was used to collected related information. Related factors of SBP and DBP in the aged were analyzed by multivariate linear regression analysis, and multivariate Logistic regression analysis was used to analyze the influencing factors of hypertension in elderly males and females. Results The questionnaire response rate was 95. 0%（ 1 991/2 096）. The prevalence rate of hypertension was 52. 08%（ 1 037/1 991）,that of diabetes was 27. 42%（ 546/1 991）.Multivariate linear regression analysis results showed that,2 h PG was independently correlated with SBP in the aged（ β = 0. 28,P〈0.05）,FPG was independently correlated with DBP in the aged（ β = 0. 18,P〈0.05）. As FPG and 2 h PG increased,the prevalence rate of hypertension showed increasing trend. Prevalence rate of hypertension in elderly females was statistically significantly higher than that in elderly males（ P〈0.05）. Multivariate Logistic regression analysis results showed that,diabetes was one of risk factors of hypertension in elderly males [OR = 1. 699,95% CI（ 1. 230,2. 347） ] and elderly females [OR =1. 934,95% CI（ 1. 457,2. 566） ]（ P〈0.05）. Conclusion Prevalence rate of hypertension is significantly high in the aged in Chengdu,and diabetes is one of influencing factors of hypertension in the aged,thereinto FPG is closely correlated with DBP,2 h PG is closely correlated with SBP.

关 键 词：高血压 血糖 老年人 成都 影响因素分析 

分 类 号：R544.1[医药卫生—心血管疾病]