南京市鼓楼区H型高血压患病率及相关危险因素的横断面研究  

Cross-sectional study on prevalence and related risk factors of type H hypertension in Gulou district of Nanjing

作　　者：王伟[1,2] 季鹏 王屹[1] 郭红梅 卞茸文[2] 熊亚晴[1] WANG Wei;JI Peng;WANG Yi;GUO Hong-mei;BIAN Rong-wen;XIONG Ya-qing(Jiangsu Province Official Hospital,Jiangsu Nanjing 210024,China)

机构地区：[1]江苏省省级机关医院,南京210024 [2]江苏省老年医学研究所

出　　处：《江苏预防医学》2018年第2期154-156,共3页Jiangsu Journal of Preventive Medicine

基　　金：江苏省预防医学科研课题(Y2015061)

摘　　要：目的了解南京市鼓楼区H型高血压患病率及相关危险因素。方法采用多阶段随机抽样原则,收集5个社区的高血压病患者,采用自行设计问卷进行问卷调查及相关实验室检查。结果筛查纳入1 148例原发性高血压病患者,诊断为H型高血压842例,占73.33%,其中女性为62.94%,男性为77.72%。多因素logistic回归分析显示:男性(OR=3.305,95%CI:1.887~5.376)、年龄(OR=1.082,95%CI:1.042~1.098)、吸烟(OR=1.951,95%CI:1.198~3.322)、BMI升高(OR=1.184,95%CI:1.110~1.253)、低密度脂蛋白升高(OR=1.612,95%CI:1.248~2.112)、eGFR降低(OR=0.978,95%CI:0.968~0.989)以及未进行有效锻炼(OR=1.876,95%CI:1.192~2.952;OR=3.331,95%CI:1.816~6.002)与H型高血压患病有统计学关联。结论南京市鼓楼区高血压人群中H型高血压发生率较高,应根据相关危险因素特征,开展针对性预防及制定治疗方案。Objective To investigate the prevalence and related risk factors of H type hypertension in Gulou district of Nanjing.Methods The multistage random sampling method was used to collect the hypertensive patients in 5 communities,who were subjected to surveys by self-designed questionnaire and related laboratory examinations.Results A total of 1 148 essential hypertensive patients were recruited,among which 842 cases were diagnosed with H type hypertension,accounting for 73.33%.The proportion H type hypertension of females and males were 62.94%and 77.72%,respectively.Multivariate logistic regression analysis showed that male(OR=3.305,95%CI:1.887-5.376),age(OR=1.082,95%CI:1.042-1.098),smoking(OR=1.951,95%CI:1.198-3.322),elevated BMI(OR=1.184,95%CI:1.110-1.253),elevated LDL-c(OR=1.612,95%CI:1.248-2.112),lower eGFR(OR=0.978,95%CI:0.968-0.989)and no effective exercise(OR=1.876,95%CI:1.192-2.952;OR=3.331,95%CI:1.816-6.002)were statistically related to H type hypertension.Conclusion H type hypertension prevalence in Gulou district of Nanjing city was relatively high.Targeted prevention and treatment measures should be made based on risk factors.

关 键 词：H型高血压 流行病学 危险因素 横断面 

分 类 号：R544.1[医药卫生—心血管疾病]